| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $682.12 | $682.12 | $682.12 | |
Hometown Health
| Professional | $4.00 | $606.21 | $933.42 |
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 | $682.12 | $682.12 | $682.12 | |
Hometown Health
| Professional | $4.00 | $606.21 | $933.42 |