| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.69 | $79.69 | $79.69 | |
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
United
| Professional | $72.55 | $88.88 | $136.04 |
Injection Streptokinase Per 250 000 Iu (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.69 | $79.69 | $79.69 | |
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
United
| Professional | $72.55 | $88.88 | $136.04 |