| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $63.75 | $63.75 | $63.75 | |
HMSA
| Professional | $77.45 | $77.45 | $77.45 | |
United
| Professional | $58.50 | $62.50 | $93.75 |
Injection, glatiramer acetate, 20 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $63.75 | $63.75 | $63.75 | |
HMSA
| Professional | $77.45 | $77.45 | $77.45 | |
United
| Professional | $58.50 | $62.50 | $93.75 |