| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.24 | $39.27 | $39.27 | |
Cigna
| Facility | $46.70 | $46.70 | $69.00 | |
Cigna
| Professional | $25.46 | $34.09 | $69.00 | |
United
| Professional | $29.61 | $37.36 | $50.67 |
Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.24 | $39.27 | $39.27 | |
Cigna
| Facility | $46.70 | $46.70 | $69.00 | |
Cigna
| Professional | $25.46 | $34.09 | $69.00 | |
United
| Professional | $29.61 | $37.36 | $50.67 |