| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Medical Mutual of Ohio
| Professional | $20.23 | $29.22 | $29.22 |
Vacuum drainagebottle/tubing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Medical Mutual of Ohio
| Professional | $20.23 | $29.22 | $29.22 |