| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.16 | $30.16 | $30.16 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
United
| Professional | $28.38 | $34.77 | $45.12 |
Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.16 | $30.16 | $30.16 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
United
| Professional | $28.38 | $34.77 | $45.12 |