| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $14.40 | $14.40 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Providence
| Professional | $5.25 | $1,800,000.00 | $2,400,000.00 |
Upper Limb Orthotic, Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $14.40 | $14.40 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Providence
| Professional | $5.25 | $1,800,000.00 | $2,400,000.00 |