| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,855.00 | $3,286.00 | $3,286.00 | |
MVP Health Care
| Professional | $1,722.50 | $1,722.50 | $1,722.50 | |
United
| Professional | $1,157.52 | $2,650.00 | $11,925.00 |
Neph Rnl Trnspl Rna Posttrnspl Perph Bld Alg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,855.00 | $3,286.00 | $3,286.00 | |
MVP Health Care
| Professional | $1,722.50 | $1,722.50 | $1,722.50 | |
United
| Professional | $1,157.52 | $2,650.00 | $11,925.00 |