| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.00 | $579.00 | $579.00 | |
BCBS
| Facility | $30.51 | $372.68 | $1,617.28 | |
Cigna
| Facility | $734.75 | $734.75 | $734.75 |
Other Outpatient Peritoneal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.00 | $579.00 | $579.00 | |
BCBS
| Facility | $30.51 | $372.68 | $1,617.28 | |
Cigna
| Facility | $734.75 | $734.75 | $734.75 |