| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $7.94 | |
Aetna
| Professional | $7.94 | $141.25 | $4,168.69 | |
Molina
| Professional | $30.20 | $30.20 | $60.26 |
Miscellaneous dialysis supplies, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $7.94 | |
Aetna
| Professional | $7.94 | $141.25 | $4,168.69 | |
Molina
| Professional | $30.20 | $30.20 | $60.26 |