| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $15.85 | $16.98 | |
Cigna
| Professional | $17.38 | $17.38 | $17.38 |
Lidocaine 70 mg/tetracaine 70 mg, per patch
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $15.85 | $16.98 | |
Cigna
| Professional | $17.38 | $17.38 | $17.38 |