| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Hometown Health
| Professional | $19.70 | $19.70 | $493.00 |
Vacuum drainagebottle/tubing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Hometown Health
| Professional | $19.70 | $19.70 | $493.00 |