| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $7.94 | $11.75 | |
Cigna
| Professional | $10.00 | $10.00 | $17.38 | |
United
| Professional | $5.25 | $11.75 | $26.92 |
Disposable drug delivery system, flow rate of less than 50 ml per hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $7.94 | $11.75 | |
Cigna
| Professional | $10.00 | $10.00 | $17.38 | |
United
| Professional | $5.25 | $11.75 | $26.92 |