| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.41 | $608.86 | $905.52 | |
Aetna
| Professional | $660.98 | $660.98 | $660.98 |
Hemostatic agent, gastrointestinal, topical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.41 | $608.86 | $905.52 | |
Aetna
| Professional | $660.98 | $660.98 | $660.98 |