| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,754.40 | $8,709.64 | $10,471.29 | |
Cigna
| Professional | $6,165.95 | $6,165.95 | $6,165.95 | |
United
| Professional | $6,165.95 | $6,165.95 | $9,332.54 |
Injection, edetate calcium disodium, up to 1,000 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,754.40 | $8,709.64 | $10,471.29 | |
Cigna
| Professional | $6,165.95 | $6,165.95 | $6,165.95 | |
United
| Professional | $6,165.95 | $6,165.95 | $9,332.54 |