| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Cigna
| Professional | $1.33 | $1.33 | $1.33 | |
MVP Health Care
| Professional | $1.33 | $1.33 | $1.33 |
Disposable pack (water reservoir bag, speculum, valving mechanism, and collection bag/box) for use with the electronic bowel irrigation/evacuation system
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Cigna
| Professional | $1.33 | $1.33 | $1.33 | |
MVP Health Care
| Professional | $1.33 | $1.33 | $1.33 |