| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.42 | $81.42 | $81.42 | |
Aetna
| Professional | $65.14 | $65.14 | $81.42 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Injection, sirolimus protein-bound particles, 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.42 | $81.42 | $81.42 | |
Aetna
| Professional | $65.14 | $65.14 | $81.42 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |