| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Medica
| Facility | $1,862.09 | $2,570.40 | $2,754.23 |
Miscellaneous Dialysis-Ultrafiltration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Medica
| Facility | $1,862.09 | $2,570.40 | $2,754.23 |