| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.12 | $0.12 | $0.19 | |
Anthem BCBS
| Professional | $25.50 | $30.00 | $40.50 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1.64 | $39.60 | $39.60 |
Microcapillary tube sealant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.12 | $0.12 | $0.19 | |
Anthem BCBS
| Professional | $25.50 | $30.00 | $40.50 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1.64 | $39.60 | $39.60 |