| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $239.88 | |
Aetna
| Professional | $239.88 | $239.88 | $1,122.02 | |
Medica
| Facility | $338.84 | $407.38 | $2,238.72 |
Sealant, pulmonary, liquid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $239.88 | |
Aetna
| Professional | $239.88 | $239.88 | $1,122.02 | |
Medica
| Facility | $338.84 | $407.38 | $2,238.72 |