| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $0.04 | $0.05 | $0.10 | |
Cigna
| Facility | $0.11 | $0.12 | $0.12 | |
Kaiser Permanente
| Professional | $0.10 | $0.10 | $0.12 | |
United
| Professional | $0.11 | $0.12 | $0.19 |
Injection, acyclovir, 5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $0.04 | $0.05 | $0.10 | |
Cigna
| Facility | $0.11 | $0.12 | $0.12 | |
Kaiser Permanente
| Professional | $0.10 | $0.10 | $0.12 | |
United
| Professional | $0.11 | $0.12 | $0.19 |