| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.81 | $271.30 | $12,067.22 | |
Aetna
| Professional | $0.23 | $0.23 | $0.23 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Medica
| Facility | $0.39 | $0.39 | $630.82 |
Surgical supply; miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.81 | $271.30 | $12,067.22 | |
Aetna
| Professional | $0.23 | $0.23 | $0.23 | |
Cigna
| Professional | $2.87 | $2.87 | $2.87 | |
Medica
| Facility | $0.39 | $0.39 | $630.82 |