| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $600.00 | $823.00 | $1,778.00 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 |
Other Outpatient Peritoneal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $600.00 | $823.00 | $1,778.00 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 |