| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $660.69 | $660.69 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Highmark BCBS
| Facility | $602.56 | $630.96 | $660.69 |
Hemostatic agent, gastrointestinal, topical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $660.69 | $660.69 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Highmark BCBS
| Facility | $602.56 | $630.96 | $660.69 |