| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $83.18 | $104.71 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
United
| Facility | $0.09 | $0.09 | $47.86 | |
United
| Professional | $63.10 | $95.50 | $95.50 |
Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $83.18 | $104.71 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
United
| Facility | $0.09 | $0.09 | $47.86 | |
United
| Professional | $63.10 | $95.50 | $95.50 |