| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.37 | $239.37 | $239.37 | |
Aetna
| Professional | $239.37 | $239.37 | $1,125.84 | |
Medica
| Facility | $402.86 | $1,125.84 | $2,251.69 |
Sealant, pulmonary, liquid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.37 | $239.37 | $239.37 | |
Aetna
| Professional | $239.37 | $239.37 | $1,125.84 | |
Medica
| Facility | $402.86 | $1,125.84 | $2,251.69 |