| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.69 | $83.69 | $83.69 | |
HMSA
| Professional | $86.20 | $86.20 | $86.20 | |
United
| Professional | $88.68 | $94.74 | $142.11 |
Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.69 | $83.69 | $83.69 | |
HMSA
| Professional | $86.20 | $86.20 | $86.20 | |
United
| Professional | $88.68 | $94.74 | $142.11 |