| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.00 | $12.00 | $12.00 | |
Cigna
| Professional | $8.96 | $8.96 | $8.96 | |
Molina
| Professional | $85.00 | $1,500.00 | $1,500.00 | |
Providence
| Professional | $8.96 | $8.96 | $8.96 |
Cast supplies, for unlisted types and materials of casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.00 | $12.00 | $12.00 | |
Cigna
| Professional | $8.96 | $8.96 | $8.96 | |
Molina
| Professional | $85.00 | $1,500.00 | $1,500.00 | |
Providence
| Professional | $8.96 | $8.96 | $8.96 |