| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1.20 | $1.20 | $1.20 | |
Cigna
| Professional | $9.12 | $9.12 | $11.48 | |
United
| Facility | $8.32 | $8.32 | $8.32 | |
United
| Professional | $10.72 | $15.14 | $46.77 |
Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1.20 | $1.20 | $1.20 | |
Cigna
| Professional | $9.12 | $9.12 | $11.48 | |
United
| Facility | $8.32 | $8.32 | $8.32 | |
United
| Professional | $10.72 | $15.14 | $46.77 |