| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.67 | $19.67 | $19.67 | |
Cigna
| Professional | $38.46 | $38.46 | $38.46 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |
Dialysat sol fld vol > 249cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.67 | $19.67 | $19.67 | |
Cigna
| Professional | $38.46 | $38.46 | $38.46 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |