| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.00 | $42.00 | $127.50 | |
Cigna
| Professional | $16.77 | $16.77 | $16.77 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 |
Hearing Service Miscellaneous (Special Coverage Instructions Apply. See Mcm: 2320)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.00 | $42.00 | $127.50 | |
Cigna
| Professional | $16.77 | $16.77 | $16.77 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 |