| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.24 | $12.24 | $20.53 | |
United
| Professional | $12.24 | $16.13 | $22.15 |
Injection Immune Globulin Intravenous 5 Grams
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.24 | $12.24 | $20.53 | |
United
| Professional | $12.24 | $16.13 | $22.15 |