| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $409.20 | $440.98 | $440.98 | |
Cigna
| Facility | $419.98 | $419.98 | $419.98 | |
Cigna
| Professional | $440.98 | $440.98 | $440.98 |
Injection, glucarpidase, 10 units
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $409.20 | $440.98 | $440.98 | |
Cigna
| Facility | $419.98 | $419.98 | $419.98 | |
Cigna
| Professional | $440.98 | $440.98 | $440.98 |