| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.75 | $63.75 | $63.75 | |
Cigna
| Professional | $63.75 | $63.75 | $63.75 | |
United
| Professional | $62.50 | $93.75 | $210.97 |
Injection, glatiramer acetate, 20 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.75 | $63.75 | $63.75 | |
Cigna
| Professional | $63.75 | $63.75 | $63.75 | |
United
| Professional | $62.50 | $93.75 | $210.97 |