| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.18 | $44.18 | $44.18 | |
Medica
| Facility | $18.11 | $44.18 | $100.00 | |
Medica
| Professional | $21.01 | $21.01 | $21.01 | |
United
| Professional | $21.01 | $21.01 | $21.01 |
Injection, gadofosveset trisodium, 1 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.18 | $44.18 | $44.18 | |
Medica
| Facility | $18.11 | $44.18 | $100.00 | |
Medica
| Professional | $21.01 | $21.01 | $21.01 | |
United
| Professional | $21.01 | $21.01 | $21.01 |