| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.12 | $0.12 | $4.00 | |
Anthem BCBS
| Professional | $25.50 | $25.50 | $30.00 | |
Cigna
| Professional | $2.12 | $2.12 | $2.12 |
Microcapillary tube sealant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.12 | $0.12 | $4.00 | |
Anthem BCBS
| Professional | $25.50 | $25.50 | $30.00 | |
Cigna
| Professional | $2.12 | $2.12 | $2.12 |