| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $451.85 | $464.54 | $641.78 | |
Cigna
| Professional | $425.45 | $519.87 | $874.78 | |
United
| Professional | $346.54 | $447.83 | $765.29 |
End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 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
| Professional | $451.85 | $464.54 | $641.78 | |
Cigna
| Professional | $425.45 | $519.87 | $874.78 | |
United
| Professional | $346.54 | $447.83 | $765.29 |