| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,473.00 | $10,473.00 | $10,473.00 | |
Cigna
| Facility | $15,321.98 | $15,321.98 | $15,321.98 | |
Highmark BCBS
| Facility | $12,759.83 | $17,414.50 | $20,056.28 |
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,473.00 | $10,473.00 | $10,473.00 | |
Cigna
| Facility | $15,321.98 | $15,321.98 | $15,321.98 | |
Highmark BCBS
| Facility | $12,759.83 | $17,414.50 | $20,056.28 |