| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $373.81 | $430.60 | $440.98 | |
Cigna
| Professional | $440.98 | $440.98 | $440.98 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |
Injection, glucarpidase, 10 units
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $373.81 | $430.60 | $440.98 | |
Cigna
| Professional | $440.98 | $440.98 | $440.98 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 |