| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.25 | $1.25 | $1.25 | |
Aetna
| Professional | $1.25 | $1.25 | $1.25 | |
Cigna
| Professional | $17.00 | $17.00 | $17.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Surgical mask, for dialysis, per 20
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.25 | $1.25 | $1.25 | |
Aetna
| Professional | $1.25 | $1.25 | $1.25 | |
Cigna
| Professional | $17.00 | $17.00 | $17.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |