| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $7.94 | $4,073.80 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medcost
| Facility | $7.94 | $7.94 | $14.45 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Miscellaneous dialysis supplies, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $7.94 | $4,073.80 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medcost
| Facility | $7.94 | $7.94 | $14.45 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |