| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.20 | $5.20 | $5.20 | |
Aetna
| Professional | $4.92 | $5.95 | $8.42 | |
Cigna
| Professional | $7.15 | $7.15 | $7.15 | |
United
| Professional | $3.94 | $6.52 | $9.84 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.20 | $5.20 | $5.20 | |
Aetna
| Professional | $4.92 | $5.95 | $8.42 | |
Cigna
| Professional | $7.15 | $7.15 | $7.15 | |
United
| Professional | $3.94 | $6.52 | $9.84 |