| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $615.00 | $615.00 | $716.23 |
Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $615.00 | $615.00 | $716.23 |