| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.98 | $660.98 | $660.98 | |
Anthem BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
ConnectiCare
| Professional | $25.00 | $25.00 | $39,999.60 |
Hemostatic Agent, Gi, Topic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.98 | $660.98 | $660.98 | |
Anthem BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
ConnectiCare
| Professional | $25.00 | $25.00 | $39,999.60 |