| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $814.70 | $814.70 | $1,083.44 | |
Aetna
| Professional | $2.62 | $2.62 | $2.62 | |
Cigna
| Professional | $2.62 | $2.62 | $2.62 | |
United
| Professional | $2.57 | $3.86 | $7.21 |
Injection, fosphenytoin, 50 mg phenytoin equivalent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $814.70 | $814.70 | $1,083.44 | |
Aetna
| Professional | $2.62 | $2.62 | $2.62 | |
Cigna
| Professional | $2.62 | $2.62 | $2.62 | |
United
| Professional | $2.57 | $3.86 | $7.21 |