| 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
| Facility | $85.00 | $85.00 | $85.00 | |
United
| Professional | $20.38 | $21.01 | $30.43 |
Injection, gadofosveset trisodium, 1 ml
| 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
| Facility | $85.00 | $85.00 | $85.00 | |
United
| Professional | $20.38 | $21.01 | $30.43 |