| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $190.55 | $190.55 | $1,905.46 | |
United
| Professional | $16,218.10 | $19,054.61 | $19,952.62 |
Ganciclovir, 4.5 mg, long-acting implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $190.55 | $190.55 | $1,905.46 | |
United
| Professional | $16,218.10 | $19,054.61 | $19,952.62 |