| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $26.00 | $28.00 | $40.00 | |
Cigna
| Facility | $425.00 | $607.00 | $2,500.00 |
Peritoneal / Composite Or Ot
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $26.00 | $28.00 | $40.00 | |
Cigna
| Facility | $425.00 | $607.00 | $2,500.00 |