| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,136.11 | $1,643.93 | $1,838.41 | |
Cigna
| Facility | $251.00 | $255.00 | $492.00 |
Peritoneal / Composite Or Ot
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,136.11 | $1,643.93 | $1,838.41 | |
Cigna
| Facility | $251.00 | $255.00 | $492.00 |