| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,814.92 | $3,969.07 | $4,042.62 | |
Cigna
| Professional | $16,320.00 | $16,960.00 | $16,960.00 | |
United
| Professional | $15,360.00 | $18,816.00 | $19,200.00 |
Ganciclovir, 4.5 mg, long-acting implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,814.92 | $3,969.07 | $4,042.62 | |
Cigna
| Professional | $16,320.00 | $16,960.00 | $16,960.00 | |
United
| Professional | $15,360.00 | $18,816.00 | $19,200.00 |