| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.45 | $75.86 | $426.58 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Molina
| Professional | $30.20 | $44.67 | $79.43 |
Upper limb orthosis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.45 | $75.86 | $426.58 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Molina
| Professional | $30.20 | $44.67 | $79.43 |