| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.54 | $31.01 | $37.15 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $88.56 | $88.56 | $88.56 |
Vacuum drainagebottle/tubing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.54 | $31.01 | $37.15 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $88.56 | $88.56 | $88.56 |