| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Medica
| Facility | $100.00 | $100.00 | $602.56 | |
Medica
| Professional | $6.61 | $6.61 | $6.61 | |
United
| Professional | $34.67 | $39.81 | $60.26 |
Miscellaneous DME supply or accessory, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Medica
| Facility | $100.00 | $100.00 | $602.56 | |
Medica
| Professional | $6.61 | $6.61 | $6.61 | |
United
| Professional | $34.67 | $39.81 | $60.26 |