| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.49 | $50.49 | $55.54 | |
BCBS
| Facility | $54.88 | $74.44 | $97.79 | |
Cigna
| Facility | $182.43 | $182.43 | $182.43 |
Unlisted Therapeutic Proph/Dx Iv/Ia Njx/Nfs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.49 | $50.49 | $55.54 | |
BCBS
| Facility | $54.88 | $74.44 | $97.79 | |
Cigna
| Facility | $182.43 | $182.43 | $182.43 |