| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $323.59 | $478.63 | |
Cigna
| Professional | $112.20 | $112.20 | $112.20 | |
United
| Professional | $112.20 | $165.96 | $281.84 |
Hyaluronan or derivative, Orthovisc, for intra-articular injection, per dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $323.59 | $478.63 | |
Cigna
| Professional | $112.20 | $112.20 | $112.20 | |
United
| Professional | $112.20 | $165.96 | $281.84 |