| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.62 | $49.62 | $49.62 | |
Cigna
| Professional | $49.62 | $49.62 | $49.62 | |
United
| Professional | $46.70 | $49.62 | $72.98 |
Injection, chloramphenicol sodium succinate, up to 1 g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.62 | $49.62 | $49.62 | |
Cigna
| Professional | $49.62 | $49.62 | $49.62 | |
United
| Professional | $46.70 | $49.62 | $72.98 |