| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.86 | $17.86 | $17.86 | |
Moda Health
| Facility | $25.54 | $25.54 | $25.54 | |
Providence
| Facility | $25.54 | $25.54 | $25.54 | |
United
| Professional | $21.01 | $31.52 | $42.38 |
Injection, gadofosveset trisodium, 1 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.86 | $17.86 | $17.86 | |
Moda Health
| Facility | $25.54 | $25.54 | $25.54 | |
Providence
| Facility | $25.54 | $25.54 | $25.54 | |
United
| Professional | $21.01 | $31.52 | $42.38 |