| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.00 | $60.00 | $60.00 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $90.00 | $90.00 | $120.00 |
Home Nfs/Specialty Drug Admn Per Visit <2 Hr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.00 | $60.00 | $60.00 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $90.00 | $90.00 | $120.00 |