| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $62.67 | $159.68 | |
Aetna
| Professional | $0.04 | $0.07 | $0.07 | |
Cigna
| Professional | $0.04 | $0.04 | $0.04 | |
United
| Professional | $0.04 | $0.11 | $0.13 |
Acyclovir Injection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $62.67 | $159.68 | |
Aetna
| Professional | $0.04 | $0.07 | $0.07 | |
Cigna
| Professional | $0.04 | $0.04 | $0.04 | |
United
| Professional | $0.04 | $0.11 | $0.13 |