| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $0.41 | $0.41 | $0.41 | |
Cigna
| Facility | $0.41 | $0.41 | $0.41 | |
United
| Professional | $0.96 | $1.05 | $1.70 |
Injection, theophylline, per 40 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $0.41 | $0.41 | $0.41 | |
Cigna
| Facility | $0.41 | $0.41 | $0.41 | |
United
| Professional | $0.96 | $1.05 | $1.70 |