| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.51 | $16.51 | $16.51 | |
Aetna
| Professional | $16.51 | $16.51 | $16.51 |
Als Specialized Service Disposable Supplies; Iv Drug Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.51 | $16.51 | $16.51 | |
Aetna
| Professional | $16.51 | $16.51 | $16.51 |