| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.60 | $40.11 | $27,266.28 | |
Aetna
| Professional | $15.61 | $36.25 | $2,970.00 | |
Cigna
| Professional | $15.61 | $15.61 | $15.61 | |
United
| Professional | $15.61 | $17.07 | $23.42 |
Injection, Dalbavancin
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.60 | $40.11 | $27,266.28 | |
Aetna
| Professional | $15.61 | $36.25 | $2,970.00 | |
Cigna
| Professional | $15.61 | $15.61 | $15.61 | |
United
| Professional | $15.61 | $17.07 | $23.42 |