| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
BCBS
| Facility | $123.70 | $123.70 | $123.70 | |
Cigna
| Facility | $71.88 | $71.88 | $71.88 | |
MVP Health Care
| Facility | $71.88 | $71.88 | $71.88 |
Home Nfs/Specialty Drug Admn Pr Vst<2 Hr Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
BCBS
| Facility | $123.70 | $123.70 | $123.70 | |
Cigna
| Facility | $71.88 | $71.88 | $71.88 | |
MVP Health Care
| Facility | $71.88 | $71.88 | $71.88 |