| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.90 | $87.75 | $128.69 | |
Aetna
| Professional | $1.71 | $1.73 | $1.73 | |
Cigna
| Professional | $1.71 | $1.71 | $1.71 | |
United
| Professional | $1.71 | $1.71 | $5.64 |
Injection, gadobenate dimeglumine (MultiHance multipack), per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.90 | $87.75 | $128.69 | |
Aetna
| Professional | $1.71 | $1.73 | $1.73 | |
Cigna
| Professional | $1.71 | $1.71 | $1.71 | |
United
| Professional | $1.71 | $1.71 | $5.64 |