| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.38 | $0.38 | $0.38 | |
BCBS
| Professional | $0.40 | $0.47 | $0.47 | |
Cigna
| Professional | $0.41 | $0.41 | $0.59 | |
United
| Professional | $1.05 | $1.05 | $1.05 |
Injection, theophylline, per 40 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.38 | $0.38 | $0.38 | |
BCBS
| Professional | $0.40 | $0.47 | $0.47 | |
Cigna
| Professional | $0.41 | $0.41 | $0.59 | |
United
| Professional | $1.05 | $1.05 | $1.05 |