| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $0.14 | $0.17 | $0.17 | |
Cigna
| Facility | $0.11 | $0.11 | $0.11 | |
Cigna
| Professional | $0.12 | $0.12 | $0.17 | |
United
| Professional | $0.12 | $0.12 | $0.12 |
Injection, acyclovir, 5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $0.14 | $0.17 | $0.17 | |
Cigna
| Facility | $0.11 | $0.11 | $0.11 | |
Cigna
| Professional | $0.12 | $0.12 | $0.17 | |
United
| Professional | $0.12 | $0.12 | $0.12 |