| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Pacific Source
| Facility | $10.96 | $35.48 | $588.84 |
Laboratory-Nonroutine Dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Pacific Source
| Facility | $10.96 | $35.48 | $588.84 |