| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $684.45 | $715.03 | $986.02 | |
Cigna
| Professional | $652.00 | $766.47 | $1,350.40 | |
United
| Professional | $524.87 | $649.92 | $1,110.33 |
End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $684.45 | $715.03 | $986.02 | |
Cigna
| Professional | $652.00 | $766.47 | $1,350.40 | |
United
| Professional | $524.87 | $649.92 | $1,110.33 |