| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $0.12 | $0.12 | $2.40 | |
Horizon BCBS
| Professional | $4.25 | $5.00 | $5.00 | |
United
| Professional | $1.96 | $1.96 | $1.96 |
Microcapillary tube sealant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $0.12 | $0.12 | $2.40 | |
Horizon BCBS
| Professional | $4.25 | $5.00 | $5.00 | |
United
| Professional | $1.96 | $1.96 | $1.96 |