| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $676.08 | |
Christus
| Facility | $562.34 | $616.60 | $616.60 | |
Cigna
| Facility | $977.24 | $977.24 | $977.24 |
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 | $676.08 | $676.08 | $676.08 | |
Christus
| Facility | $562.34 | $616.60 | $616.60 | |
Cigna
| Facility | $977.24 | $977.24 | $977.24 |