| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.61 | $714.61 | $714.61 | |
Aetna
| Professional | $660.98 | $660.98 | $660.98 | |
BCBS
| Facility | $0.02 | $0.02 | $35.20 |
Hemostatic Agent, Gi, Topic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.61 | $714.61 | $714.61 | |
Aetna
| Professional | $660.98 | $660.98 | $660.98 | |
BCBS
| Facility | $0.02 | $0.02 | $35.20 |