| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.49 | $50.49 | $50.49 | |
Aetna
| Professional | $50.49 | $50.49 | $50.49 | |
Anthem BCBS
| Facility | $115.00 | $506.01 | $669.63 | |
Cigna
| Facility | $33.15 | $33.15 | $33.15 |
Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.49 | $50.49 | $50.49 | |
Aetna
| Professional | $50.49 | $50.49 | $50.49 | |
Anthem BCBS
| Facility | $115.00 | $506.01 | $669.63 | |
Cigna
| Facility | $33.15 | $33.15 | $33.15 |