| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.95 | $598.95 | $610.58 | |
CareSource
| Facility | $523.51 | $755.87 | $904.25 | |
Cigna
| Facility | $691.08 | $691.08 | $691.08 |
End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.95 | $598.95 | $610.58 | |
CareSource
| Facility | $523.51 | $755.87 | $904.25 | |
Cigna
| Facility | $691.08 | $691.08 | $691.08 |