| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,331.96 | $1,331.96 | $1,331.96 | |
Cigna
| Facility | $691.08 | $691.08 | $691.08 | |
Lucent Health
| Facility | $1,398.76 | $1,398.76 | $2,962.01 |
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 | $1,331.96 | $1,331.96 | $1,331.96 | |
Cigna
| Facility | $691.08 | $691.08 | $691.08 | |
Lucent Health
| Facility | $1,398.76 | $1,398.76 | $2,962.01 |