| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $15.14 | $28.18 | |
Cigna
| Facility | $10.72 | $10.72 | $10.72 | |
Cigna
| Professional | $7.76 | $7.76 | $10.72 |
Nonstandard size or width
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $15.14 | $28.18 | |
Cigna
| Facility | $10.72 | $10.72 | $10.72 | |
Cigna
| Professional | $7.76 | $7.76 | $10.72 |