| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.97 | $151.97 | $151.97 | |
Aetna
| Professional | $151.97 | $151.97 | $151.97 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 |
Ivig Non-Lyophilized, Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.97 | $151.97 | $151.97 | |
Aetna
| Professional | $151.97 | $151.97 | $151.97 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 |