| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.54 | $55.54 | $55.54 | |
Aetna
| Professional | $50.49 | $55.53 | $55.54 | |
Cigna
| Professional | $1.51 | $1.96 | $3.00 | |
Medica
| Facility | $55.54 | $55.54 | $166.62 |
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 | $55.54 | $55.54 | $55.54 | |
Aetna
| Professional | $50.49 | $55.53 | $55.54 | |
Cigna
| Professional | $1.51 | $1.96 | $3.00 | |
Medica
| Facility | $55.54 | $55.54 | $166.62 |