| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.55 | $54.55 | $54.55 | |
Cigna
| Professional | $54.55 | $54.55 | $54.55 | |
United
| Professional | $51.34 | $56.42 | $84.63 |
Injection, dimercaprol, per 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.55 | $54.55 | $54.55 | |
Cigna
| Professional | $54.55 | $54.55 | $54.55 | |
United
| Professional | $51.34 | $56.42 | $84.63 |