| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.15 | $40.15 | $49.73 | |
Cigna
| Facility | $61.62 | $61.62 | $61.62 | |
Cigna
| Professional | $44.98 | $44.98 | $61.62 | |
United
| Professional | $33.64 | $48.68 | $73.31 |
Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior ASIS pad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.15 | $40.15 | $49.73 | |
Cigna
| Facility | $61.62 | $61.62 | $61.62 | |
Cigna
| Professional | $44.98 | $44.98 | $61.62 | |
United
| Professional | $33.64 | $48.68 | $73.31 |