| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $7.94 | $7.94 | $10.47 | |
United
| Professional | $14.45 | $14.45 | $14.45 |
Injection, immune globulin (Vivaglobin), 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $7.94 | $7.94 | $10.47 | |
United
| Professional | $14.45 | $14.45 | $14.45 |