| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Medcost
| Facility | $25.00 | $25.00 | $30.37 | |
Medcost
| Professional | $21.00 | $21.00 | $21.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Vacuum Drainagebottle/Tubing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Medcost
| Facility | $25.00 | $25.00 | $30.37 | |
Medcost
| Professional | $21.00 | $21.00 | $21.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |