| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.79 | $32.79 | $35.20 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Providence
| Professional | $5.25 | $5.25 | $5.25 |
Upper limb orthosis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.79 | $32.79 | $35.20 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Providence
| Professional | $5.25 | $5.25 | $5.25 |