| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.54 | $25.62 | $42.74 | |
Cigna
| Professional | $36.29 | $36.29 | $53.27 | |
United
| Professional | $26.15 | $29.98 | $51.04 |
Activated carbon filter, ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.54 | $25.62 | $42.74 | |
Cigna
| Professional | $36.29 | $36.29 | $53.27 | |
United
| Professional | $26.15 | $29.98 | $51.04 |