| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $3.98 | $3.98 | |
Medica
| Facility | $0.12 | $0.12 | $0.27 | |
Medica
| Professional | $6.76 | $6.76 | $6.76 | |
United
| Professional | $1.78 | $1.78 | $1.78 |
Microcapillary tube sealant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $3.98 | $3.98 | |
Medica
| Facility | $0.12 | $0.12 | $0.27 | |
Medica
| Professional | $6.76 | $6.76 | $6.76 | |
United
| Professional | $1.78 | $1.78 | $1.78 |