| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $699.40 | $699.40 | $699.40 | |
Aetna
| Professional | $504.78 | $504.78 | $504.78 | |
United
| Professional | $255.43 | $608.16 | $912.26 |
Hem Atyp Hemolytic Uremc Synd Gen Seq Aly 15 Gen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $699.40 | $699.40 | $699.40 | |
Aetna
| Professional | $504.78 | $504.78 | $504.78 | |
United
| Professional | $255.43 | $608.16 | $912.26 |