| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.54 | $55.54 | $667.00 | |
Aetna
| Professional | $50.49 | $55.54 | $55.54 | |
Cigna
| Facility | $95.68 | $114.91 | $168.38 | |
Horizon BCBS
| Facility | $93.52 | $112.19 | $243.26 |
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 | $667.00 | |
Aetna
| Professional | $50.49 | $55.54 | $55.54 | |
Cigna
| Facility | $95.68 | $114.91 | $168.38 | |
Horizon BCBS
| Facility | $93.52 | $112.19 | $243.26 |