| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Medica
| Facility | $55.00 | $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 | $29.25 | $29.25 | $36.56 | |
Medica
| Facility | $55.00 | $90.00 | $90.00 | |
Medica
| Professional | $88.56 | $88.56 | $88.56 |