| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $2,691.53 | $2,691.53 | $2,691.53 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Upper extremity prosthesis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $2,691.53 | $2,691.53 | $2,691.53 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |