| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $23.39 | $30.03 | $50.36 |
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 | $13.99 | $13.99 | $13.99 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $23.39 | $30.03 | $50.36 |