| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,303.80 | $1,303.80 | $1,303.80 |
Esrd Related Svc Monthly 2-11 Yr Old 2/3 Visits
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,303.80 | $1,303.80 | $1,303.80 |