| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.41 | $0.41 | $0.41 | |
United
| Professional | $0.83 | $1.02 | $1.58 |
Injection, theophylline, per 40 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.41 | $0.41 | $0.41 | |
United
| Professional | $0.83 | $1.02 | $1.58 |