| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.88 | $29.88 | $29.88 | |
Aetna
| Professional | $29.88 | $29.88 | $29.88 |
Injection, plasminogen, human-tvmh, 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.88 | $29.88 | $29.88 | |
Aetna
| Professional | $29.88 | $29.88 | $29.88 |