| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.15 | $398.15 | $398.15 | |
Cigna
| Professional | $179.84 | $179.84 | $179.84 | |
MVP Health Care
| Professional | $179.84 | $179.84 | $179.84 |
Repair of prosthetic device, repair or replace minor parts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.15 | $398.15 | $398.15 | |
Cigna
| Professional | $179.84 | $179.84 | $179.84 | |
MVP Health Care
| Professional | $179.84 | $179.84 | $179.84 |