| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $147.91 | $251.19 | |
Cigna
| Professional | $125.89 | $208.93 | $389.05 | |
United
| Professional | $141.25 | $194.98 | $478.63 |
Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $147.91 | $251.19 | |
Cigna
| Professional | $125.89 | $208.93 | $389.05 | |
United
| Professional | $141.25 | $194.98 | $478.63 |