| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.00 | $526.00 | $526.00 | |
BCBS
| Facility | $594.03 | $623.73 | $656.56 |
Miscellaneous Dialysis-Ultrafiltration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.00 | $526.00 | $526.00 | |
BCBS
| Facility | $594.03 | $623.73 | $656.56 |