| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Medica
| Facility | $33.65 | $33.79 | $54.80 | |
Sanford Health Plan
| Professional | $3.19 | $3.19 | $3.19 |
Dialysat sol fld vol > 999cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Medica
| Facility | $33.65 | $33.79 | $54.80 | |
Sanford Health Plan
| Professional | $3.19 | $3.19 | $3.19 |