| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.88 | $161.76 | $362.44 | |
Aetna
| Professional | $0.23 | $0.23 | $0.23 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Martin's Point
| Facility | $64.88 | $161.76 | $362.44 |
Surgical supply; miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.88 | $161.76 | $362.44 | |
Aetna
| Professional | $0.23 | $0.23 | $0.23 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Martin's Point
| Facility | $64.88 | $161.76 | $362.44 |