| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.00 | $44.80 | $86.40 | |
Cigna
| Professional | $25.05 | $25.05 | $25.05 | |
Providence
| Professional | $25.05 | $25.05 | $2,250,000.00 |
Durable medical equipment, miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.00 | $44.80 | $86.40 | |
Cigna
| Professional | $25.05 | $25.05 | $25.05 | |
Providence
| Professional | $25.05 | $25.05 | $2,250,000.00 |