| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.00 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $13,648.86 | $16,563.53 | $22,283.25 | |
United
| Facility | $1,485.00 | $4,640.00 | $8,402.00 |
Impltj/Rplcmt Ithcl/Edrl Drug Nfs Subq Rsvr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.00 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $13,648.86 | $16,563.53 | $22,283.25 | |
United
| Facility | $1,485.00 | $4,640.00 | $8,402.00 |