| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
Cigna
| Professional | $2.45 | $2.45 | $2.45 | |
HMSA
| Professional | $1.45 | $1.45 | $1.45 | |
United
| Professional | $2.29 | $3.39 | $3.63 |
Injection, fosphenytoin, 50 mg phenytoin equivalent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
Cigna
| Professional | $2.45 | $2.45 | $2.45 | |
HMSA
| Professional | $1.45 | $1.45 | $1.45 | |
United
| Professional | $2.29 | $3.39 | $3.63 |