| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $954.99 | $954.99 | $954.99 | |
MountainHealth Co-op
| Facility | $891.25 | $1,023.29 | $1,122.02 | |
Providence
| Facility | $602.56 | $831.76 | $1,380.38 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $954.99 | $954.99 | $954.99 | |
MountainHealth Co-op
| Facility | $891.25 | $1,023.29 | $1,122.02 | |
Providence
| Facility | $602.56 | $831.76 | $1,380.38 |