| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.13 | $134.13 | $6,369.75 | |
Aetna
| Professional | $660.98 | $660.98 | $660.98 |
Hemostatic Agent, Gi, Topic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.13 | $134.13 | $6,369.75 | |
Aetna
| Professional | $660.98 | $660.98 | $660.98 |