| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.73 | $317.73 | $317.73 | |
Aetna
| Professional | $9.90 | $13.38 | $18.80 | |
Cigna
| Professional | $8.96 | $8.96 | $8.96 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Cast supplies, for unlisted types and materials of casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.73 | $317.73 | $317.73 | |
Aetna
| Professional | $9.90 | $13.38 | $18.80 | |
Cigna
| Professional | $8.96 | $8.96 | $8.96 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |