| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,808.65 | $4,218.35 | $4,218.35 | |
Cigna
| Professional | $1,808.65 | $1,808.65 | $1,808.65 | |
United
| Professional | $1,686.58 | $1,808.65 | $2,712.98 |
Injection, cytomegalovirus immune globulin intravenous (human), per vial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,808.65 | $4,218.35 | $4,218.35 | |
Cigna
| Professional | $1,808.65 | $1,808.65 | $1,808.65 | |
United
| Professional | $1,686.58 | $1,808.65 | $2,712.98 |