| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $0.12 | $0.12 | |
Aetna
| Professional | $0.12 | $0.12 | $0.12 | |
Medica
| Facility | $0.12 | $0.12 | $0.16 | |
Medica
| Professional | $6.77 | $6.77 | $6.77 |
Microcapillary tube sealant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $0.12 | $0.12 | |
Aetna
| Professional | $0.12 | $0.12 | $0.12 | |
Medica
| Facility | $0.12 | $0.12 | $0.16 | |
Medica
| Professional | $6.77 | $6.77 | $6.77 |