| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,682.23 | $2,682.23 | $2,682.23 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |
Upper extremity prosthesis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,682.23 | $2,682.23 | $2,682.23 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |