| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $123.03 | $181.97 | |
Cigna
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Professional | $72.44 | $109.65 | $208.93 |
Hyaluronan or derivative, Hyalgan, Supartz or Visco-3, for intra-articular injection, per dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $123.03 | $181.97 | |
Cigna
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Professional | $72.44 | $109.65 | $208.93 |