| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $1,803.13 | $5,147.72 | $5,147.72 | |
United
| Professional | $844.79 | $889.25 | $889.25 |
Injection, pegaptanib sodium, 0.3 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $1,803.13 | $5,147.72 | $5,147.72 | |
United
| Professional | $844.79 | $889.25 | $889.25 |