| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.92 | $36.68 | $43.14 | |
Cigna
| Professional | $36.29 | $36.29 | $39.97 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $19.05 | $24.47 | $47.24 |
Activated carbon filter, ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.92 | $36.68 | $43.14 | |
Cigna
| Professional | $36.29 | $36.29 | $39.97 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $19.05 | $24.47 | $47.24 |