| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.00 | $375.00 | $375.00 |
Inpatient Renal Dialysis-Inpatient Peritoneal (Non-CAPD)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.00 | $375.00 | $375.00 |