| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Select Health
| Professional | $1.00 | $1.00 | $1.00 |
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 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Select Health
| Professional | $1.00 | $1.00 | $1.00 |