| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $500.25 | $500.25 | $500.25 | |
United
| Professional | $499.19 | $743.20 | $820.76 |
Tdrm Gfr Mntr Snr Plmt&>1 Dos Pyrazine Ea 24 Hrs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $500.25 | $500.25 | $500.25 | |
United
| Professional | $499.19 | $743.20 | $820.76 |