| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $798.75 | $806.74 | $998.44 | |
Molina
| Professional | $35.00 | $35.00 | $35.00 |
Ko Double Upright Pre Ots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $798.75 | $806.74 | $998.44 | |
Molina
| Professional | $35.00 | $35.00 | $35.00 |