| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $913.47 | $913.47 | $913.47 | |
Aetna
| Professional | $660.98 | $660.98 | $660.98 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 |
Hemostatic agent, gastrointestinal, topical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $913.47 | $913.47 | $913.47 | |
Aetna
| Professional | $660.98 | $660.98 | $660.98 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 |