| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.83 | $3,164.74 | $3,164.74 | |
Aetna
| Professional | $0.23 | $9.32 | $9.32 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 |
Surgical Supply; Miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.83 | $3,164.74 | $3,164.74 | |
Aetna
| Professional | $0.23 | $9.32 | $9.32 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 |