| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $114.82 | |
Aetna
| Professional | $93.33 | $93.33 | $120.23 | |
United
| Professional | $27.54 | $30.20 | $43.65 |
Vaccinia immune globulin, human, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $114.82 | |
Aetna
| Professional | $93.33 | $93.33 | $120.23 | |
United
| Professional | $27.54 | $30.20 | $43.65 |