| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $544.00 | $544.00 | $618.00 | |
Pacific Source
| Facility | $472.00 | $1,007.86 | $1,617.87 |
Continuous Ambulatory Peritoneal Dialysis (CAPD) Outpatient or Home-CAPD/Composite or Other Rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $544.00 | $544.00 | $618.00 | |
Pacific Source
| Facility | $472.00 | $1,007.86 | $1,617.87 |