| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.02 | $33.67 | $40.71 | |
Cigna
| Professional | $36.29 | $36.29 | $53.27 | |
United
| Professional | $19.05 | $23.82 | $47.81 |
Activated carbon filter, ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.02 | $33.67 | $40.71 | |
Cigna
| Professional | $36.29 | $36.29 | $53.27 | |
United
| Professional | $19.05 | $23.82 | $47.81 |