| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.45 | $94.14 | $94.14 | |
Cigna
| Professional | $39.45 | $39.45 | $39.45 | |
United
| Professional | $39.45 | $59.18 | $184.73 |
Injection, chlorothiazide sodium, per 500 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.45 | $94.14 | $94.14 | |
Cigna
| Professional | $39.45 | $39.45 | $39.45 | |
United
| Professional | $39.45 | $59.18 | $184.73 |