| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.71 | $140.71 | $140.71 | |
BCBS
| Facility | $957.58 | $1,111.47 | $2,045.12 | |
Cigna
| Facility | $500.00 | $500.00 | $500.00 |
Medical/Surgical Supplies and Devices - Non Sterile Supply
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.71 | $140.71 | $140.71 | |
BCBS
| Facility | $957.58 | $1,111.47 | $2,045.12 | |
Cigna
| Facility | $500.00 | $500.00 | $500.00 |
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