| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.90 | $81.84 | $81.84 | |
Cigna
| Facility | $85.16 | $85.16 | $85.16 | |
Cigna
| Professional | $62.17 | $62.17 | $199.45 | |
United
| Professional | $61.73 | $85.94 | $129.47 |
Elbow orthosis (EO), elastic with metal joints, prefabricated, off-the-shelf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.90 | $81.84 | $81.84 | |
Cigna
| Facility | $85.16 | $85.16 | $85.16 | |
Cigna
| Professional | $62.17 | $62.17 | $199.45 | |
United
| Professional | $61.73 | $85.94 | $129.47 |