| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $636.45 | $636.45 | $636.45 |
Esrd Svc Home Dialysis Full Month <2yr Old
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $636.45 | $636.45 | $636.45 |