| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.84 | $228.05 | $411.84 | |
Aetna
| Professional | $15.98 | $15.98 | $113.15 | |
Cigna
| Professional | $16.73 | $19.05 | $19.77 | |
United
| Professional | $10.08 | $14.29 | $20.50 |
Ther Proph/Dx Njx Ea Seql Iv Push Sbst/Drug Fac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.84 | $228.05 | $411.84 | |
Aetna
| Professional | $15.98 | $15.98 | $113.15 | |
Cigna
| Professional | $16.73 | $19.05 | $19.77 | |
United
| Professional | $10.08 | $14.29 | $20.50 |