| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $82.45 | $82.45 | $82.45 | |
Cigna
| Professional | $29.23 | $70.08 | $70.08 |
Miscellaneous Dme Supply Or Accessory Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $82.45 | $82.45 | $82.45 | |
Cigna
| Professional | $29.23 | $70.08 | $70.08 |