| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.12 | $0.12 | $0.15 | |
Hally Health
| Professional | $9.56 | $9.92 | $12.77 | |
Medica
| Facility | $0.12 | $0.12 | $0.20 |
Microcapillary tube sealant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.12 | $0.12 | $0.15 | |
Hally Health
| Professional | $9.56 | $9.92 | $12.77 | |
Medica
| Facility | $0.12 | $0.12 | $0.20 |