| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Cigna
| Professional | $39.81 | $39.81 | $39.81 |
Acetate concentrate solution, for hemodialysis, per gallon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Cigna
| Professional | $39.81 | $39.81 | $39.81 |