| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.62 | $0.62 | $86.40 | |
Cigna
| Professional | $25.05 | $25.05 | $25.05 | |
Medica
| Facility | $100.00 | $100.00 | $214.45 | |
Medica
| Professional | $214.45 | $214.45 | $214.45 |
Durable Medical Equipment Miscellaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.62 | $0.62 | $86.40 | |
Cigna
| Professional | $25.05 | $25.05 | $25.05 | |
Medica
| Facility | $100.00 | $100.00 | $214.45 | |
Medica
| Professional | $214.45 | $214.45 | $214.45 |