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