| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.50 | $12.68 | $232.50 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Medica
| Facility | $12.68 | $25.36 | $100.00 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.50 | $12.68 | $232.50 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Medica
| Facility | $12.68 | $25.36 | $100.00 |