| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $416.87 | $416.87 | |
Medica
| Facility | $1,174.90 | $1,174.90 | $1,174.90 |
Inpatient Renal Dialysis-Other Inpatient Dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $416.87 | $416.87 | |
Medica
| Facility | $1,174.90 | $1,174.90 | $1,174.90 |