| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.00 | $5.00 | $5.00 | |
BCBS
| Facility | $1,774.50 | $1,774.50 | $1,951.95 | |
Cigna
| Professional | $25.05 | $25.05 | $25.05 | |
Molina
| Professional | $20.00 | $20.00 | $25.00 |
Durable Medical Equipment Miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.00 | $5.00 | $5.00 | |
BCBS
| Facility | $1,774.50 | $1,774.50 | $1,951.95 | |
Cigna
| Professional | $25.05 | $25.05 | $25.05 | |
Molina
| Professional | $20.00 | $20.00 | $25.00 |