| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.41 | $0.41 | $0.41 | |
Aetna
| Professional | $0.23 | $0.23 | $0.23 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Medica
| Facility | $0.23 | $100.00 | $332.36 |
Surgical supply; miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.41 | $0.41 | $0.41 | |
Aetna
| Professional | $0.23 | $0.23 | $0.23 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Medica
| Facility | $0.23 | $100.00 | $332.36 |