| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $93.33 | $12,022.64 | |
Aetna
| Professional | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $2.88 | $2.88 | $2.88 |
Surgical supply; miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $93.33 | $12,022.64 | |
Aetna
| Professional | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $2.88 | $2.88 | $2.88 |