| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $144.54 | $158.49 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Highmark BCBS
| Facility | $0.87 | $0.87 | $1.35 | |
United
| Professional | $0.10 | $0.12 | $0.18 |
Injection, acyclovir, 5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $144.54 | $158.49 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Highmark BCBS
| Facility | $0.87 | $0.87 | $1.35 | |
United
| Professional | $0.10 | $0.12 | $0.18 |