| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.95 | $66.34 | $66.34 | |
Cigna
| Facility | $112.36 | $112.36 | $112.36 | |
Cigna
| Professional | $82.02 | $82.02 | $112.36 | |
United
| Professional | $55.88 | $80.42 | $109.03 |
Addition to lower extremity, pelvic and thoracic control, gluteal pad, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.95 | $66.34 | $66.34 | |
Cigna
| Facility | $112.36 | $112.36 | $112.36 | |
Cigna
| Professional | $82.02 | $82.02 | $112.36 | |
United
| Professional | $55.88 | $80.42 | $109.03 |