| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.00 | $55.00 | $55.00 | |
Aetna
| Professional | $46.75 | $55.00 | $55.00 | |
Sanford Health Plan
| Professional | $46.75 | $46.75 | $46.75 |
Injection, triamcinolone acetonide, suprachoroidal (Xipere), 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.00 | $55.00 | $55.00 | |
Aetna
| Professional | $46.75 | $55.00 | $55.00 | |
Sanford Health Plan
| Professional | $46.75 | $46.75 | $46.75 |