| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $660.69 | $660.69 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
ConnectiCare
| Professional | $42,657.95 | $42,657.95 | $42,657.95 |
Hemostatic agent, gastrointestinal, topical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $660.69 | $660.69 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
ConnectiCare
| Professional | $42,657.95 | $42,657.95 | $42,657.95 |