| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $41.21 | $97.35 | $240.76 | |
BCBS
| Professional | $111.61 | $137.37 | $324.52 | |
Cigna
| Professional | $70.08 | $70.08 | $70.08 | |
Medica
| Facility | $100.00 | $100.00 | $600.00 |
Miscellaneous Dme Supply Or Accessory Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $41.21 | $97.35 | $240.76 | |
BCBS
| Professional | $111.61 | $137.37 | $324.52 | |
Cigna
| Professional | $70.08 | $70.08 | $70.08 | |
Medica
| Facility | $100.00 | $100.00 | $600.00 |