| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.34 | $26.34 | $26.34 | |
Aetna
| Professional | $10.25 | $16.25 | $16.25 | |
Cigna
| Professional | $10.25 | $10.25 | $10.25 | |
United
| Professional | $10.25 | $15.38 | $18.25 |
Injection, cilastatin sodium; imipenem, per 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.34 | $26.34 | $26.34 | |
Aetna
| Professional | $10.25 | $16.25 | $16.25 | |
Cigna
| Professional | $10.25 | $10.25 | $10.25 | |
United
| Professional | $10.25 | $15.38 | $18.25 |