| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.95 | $75.12 | $102.16 | |
Cigna
| Professional | $64.44 | $76.06 | $76.72 | |
United
| Professional | $38.06 | $55.76 | $70.40 |
Ther Proph/Dx Njx Iv Push Single/1st Sbst/Drug
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.95 | $75.12 | $102.16 | |
Cigna
| Professional | $64.44 | $76.06 | $76.72 | |
United
| Professional | $38.06 | $55.76 | $70.40 |