| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.88 | $771.08 | $2,993.96 | |
Aetna
| Professional | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Medica
| Facility | $9.24 | $27.00 | $158.66 |
Surgical supply; miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.88 | $771.08 | $2,993.96 | |
Aetna
| Professional | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Medica
| Facility | $9.24 | $27.00 | $158.66 |