| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.53 | $80.53 | $80.53 | |
BCBS
| Professional | $80.53 | $94.74 | $94.74 | |
Cigna
| Professional | $80.53 | $80.53 | $118.43 | |
United
| Professional | $37.90 | $94.74 | $94.74 |
Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.53 | $80.53 | $80.53 | |
BCBS
| Professional | $80.53 | $94.74 | $94.74 | |
Cigna
| Professional | $80.53 | $80.53 | $118.43 | |
United
| Professional | $37.90 | $94.74 | $94.74 |