| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.62 | $20.62 | $20.62 | |
Aetna
| Professional | $20.62 | $20.62 | $20.62 | |
CareFirst
| Professional | $30.83 | $30.83 | $30.83 | |
United
| Professional | $17.88 | $19.64 | $31.85 |
Injection, hydroxyprogesterone caproate, (Makena), 10 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.62 | $20.62 | $20.62 | |
Aetna
| Professional | $20.62 | $20.62 | $20.62 | |
CareFirst
| Professional | $30.83 | $30.83 | $30.83 | |
United
| Professional | $17.88 | $19.64 | $31.85 |