| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.88 | $7.88 | $7.88 | |
Aetna
| Professional | $7.88 | $7.88 | $7.88 | |
United
| Professional | $9.02 | $9.49 | $9.49 |
Injection, dyphylline, up to 500 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.88 | $7.88 | $7.88 | |
Aetna
| Professional | $7.88 | $7.88 | $7.88 | |
United
| Professional | $9.02 | $9.49 | $9.49 |