| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.37 | $239.37 | $239.37 | |
Hally Health
| Professional | $150.00 | $200.00 | $1,058.00 | |
Medica
| Facility | $239.37 | $268.08 | $428.47 |
Sealant, pulmonary, liquid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.37 | $239.37 | $239.37 | |
Hally Health
| Professional | $150.00 | $200.00 | $1,058.00 | |
Medica
| Facility | $239.37 | $268.08 | $428.47 |