| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Molina
| Professional | $19.95 | $25.12 | $67.61 | |
United
| Professional | $23.44 | $30.20 | $52.48 |
Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Molina
| Professional | $19.95 | $25.12 | $67.61 | |
United
| Professional | $23.44 | $30.20 | $52.48 |