| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
Aetna
| Professional | $239.88 | $239.88 | $660.69 |
Sealant, pulmonary, liquid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
Aetna
| Professional | $239.88 | $239.88 | $660.69 |