| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.06 | $42.21 | $62.39 | |
Cigna
| Facility | $67.20 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $49.06 | $77.70 | |
United
| Professional | $42.94 | $51.83 | $78.06 |
Sacroiliac Orthosis Flexible Provides Pelvic- Sacral Support Reduces Motion About The Sacro- Iliac Joint Includes Straps Closures May Include Pendulous Abdomen Design Prefabricated Off-The-Shelf (Revised 01/01/14)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.06 | $42.21 | $62.39 | |
Cigna
| Facility | $67.20 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $49.06 | $77.70 | |
United
| Professional | $42.94 | $51.83 | $78.06 |