| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.57 | $5,244.00 | $9,950.00 | |
Horizon BCBS
| Facility | $34,676.29 | $39,380.29 | $93,178.48 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |
Impltj/Rplcmt Ithcl/Edrl Drug Nfs Subq Rsvr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.57 | $5,244.00 | $9,950.00 | |
Horizon BCBS
| Facility | $34,676.29 | $39,380.29 | $93,178.48 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |