| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.66 | $41.66 | $51.05 | |
Cigna
| Facility | $64.62 | $64.62 | $64.62 | |
Cigna
| Professional | $47.17 | $47.17 | $64.62 | |
United
| Professional | $36.08 | $50.50 | $76.06 |
Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), abdominal pad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.66 | $41.66 | $51.05 | |
Cigna
| Facility | $64.62 | $64.62 | $64.62 | |
Cigna
| Professional | $47.17 | $47.17 | $64.62 | |
United
| Professional | $36.08 | $50.50 | $76.06 |