| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.00 | $427.00 | $427.00 | |
Cigna
| Facility | $300.00 | $500.00 | $847.00 |
Peritoneal / Composite Or Ot
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.00 | $427.00 | $427.00 | |
Cigna
| Facility | $300.00 | $500.00 | $847.00 |