| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.84 | $5.84 | $5.84 | |
Aetna
| Professional | $5.84 | $5.84 | $5.84 | |
Cigna
| Professional | $6.17 | $6.17 | $6.17 | |
United
| Professional | $11.59 | $12.20 | $13.58 |
Injection, dolasetron mesylate, 10 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.84 | $5.84 | $5.84 | |
Aetna
| Professional | $5.84 | $5.84 | $5.84 | |
Cigna
| Professional | $6.17 | $6.17 | $6.17 | |
United
| Professional | $11.59 | $12.20 | $13.58 |