| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.25 | $1.25 | $1.25 | |
Cigna
| Professional | $0.40 | $17.00 | $17.00 | |
MVP Health Care
| Professional | $0.40 | $17.00 | $17.00 |
Surgical mask, for dialysis, per 20
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.25 | $1.25 | $1.25 | |
Cigna
| Professional | $0.40 | $17.00 | $17.00 | |
MVP Health Care
| Professional | $0.40 | $17.00 | $17.00 |