| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.86 | $17.86 | $17.86 | |
Aetna
| Professional | $17.86 | $17.86 | $17.86 | |
Cigna
| Professional | $47.36 | $47.36 | $47.36 | |
United
| Professional | $20.02 | $21.01 | $24.95 |
Gadofosveset Trisodium Inj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.86 | $17.86 | $17.86 | |
Aetna
| Professional | $17.86 | $17.86 | $17.86 | |
Cigna
| Professional | $47.36 | $47.36 | $47.36 | |
United
| Professional | $20.02 | $21.01 | $24.95 |