| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.46 | $70.08 | $70.08 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |
Miscellaneous Dme Supply Or Accessory Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.46 | $70.08 | $70.08 | |
Hometown Health
| Professional | $100.00 | $200.00 | $493.00 |