| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.84 | $65.84 | $65.84 | |
Cigna
| Professional | $14.00 | $14.00 | $14.00 | |
United
| Professional | $12.80 | $16.00 | $24.00 |
Injection, amphotericin B cholesteryl sulfate complex, 10 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.84 | $65.84 | $65.84 | |
Cigna
| Professional | $14.00 | $14.00 | $14.00 | |
United
| Professional | $12.80 | $16.00 | $24.00 |