| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $546.04 | $546.04 | $546.04 | |
Medica
| Facility | $546.04 | $849.61 | $1,169.61 |
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 | $546.04 | $546.04 | $546.04 | |
Medica
| Facility | $546.04 | $849.61 | $1,169.61 |