| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.61 | $17.61 | $17.61 | |
United
| Professional | $16.57 | $20.30 | $31.08 |
Injection, chloroquine HCl, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.61 | $17.61 | $17.61 | |
United
| Professional | $16.57 | $20.30 | $31.08 |