| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.86 | $17.86 | $17.86 | |
BCBS
| Facility | $74.39 | $74.39 | $92.37 | |
United
| Professional | $19.96 | $21.01 | $48.54 |
Gadofosveset Trisodium Inj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.86 | $17.86 | $17.86 | |
BCBS
| Facility | $74.39 | $74.39 | $92.37 | |
United
| Professional | $19.96 | $21.01 | $48.54 |