| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7.59 | $7.59 | $9.33 | |
Medica
| Facility | $8.13 | $13.49 | $23.99 | |
Medica
| Professional | $14.45 | $16.22 | $16.22 | |
United
| Professional | $14.45 | $16.22 | $16.22 |
Injection, immune globulin (Vivaglobin), 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7.59 | $7.59 | $9.33 | |
Medica
| Facility | $8.13 | $13.49 | $23.99 | |
Medica
| Professional | $14.45 | $16.22 | $16.22 | |
United
| Professional | $14.45 | $16.22 | $16.22 |