| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $660.69 | $660.69 | |
Aetna
| Professional | $239.88 | $239.88 | $1,122.02 | |
Molina
| Professional | $30.20 | $44.67 | $75.86 |
Sealant, pulmonary, liquid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $660.69 | $660.69 | |
Aetna
| Professional | $239.88 | $239.88 | $1,122.02 | |
Molina
| Professional | $30.20 | $44.67 | $75.86 |