| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.59 | $13.59 | $13.59 | |
Cigna
| Professional | $13.91 | $13.91 | $13.91 | |
Providence
| Professional | $13.91 | $13.91 | $16.37 | |
United
| Professional | $13.64 | $13.64 | $13.64 |
Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.59 | $13.59 | $13.59 | |
Cigna
| Professional | $13.91 | $13.91 | $13.91 | |
Providence
| Professional | $13.91 | $13.91 | $16.37 | |
United
| Professional | $13.64 | $13.64 | $13.64 |