| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.27 | $14.27 | $14.27 | |
Aetna
| Professional | $14.27 | $14.27 | $14.27 | |
Providence
| Facility | $95.19 | $95.19 | $95.19 | |
United
| Professional | $15.65 | $18.39 | $23.93 |
Omegaven, 10 Grams Lipids
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.27 | $14.27 | $14.27 | |
Aetna
| Professional | $14.27 | $14.27 | $14.27 | |
Providence
| Facility | $95.19 | $95.19 | $95.19 | |
United
| Professional | $15.65 | $18.39 | $23.93 |