| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
United
| Professional | $30.06 | $40.58 | $76.20 |
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
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
United
| Professional | $30.06 | $40.58 | $76.20 |