| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.62 | $26.62 | $27.69 | |
Cigna
| Facility | $25.12 | $26.62 | $26.62 | |
Cigna
| Professional | $26.62 | $26.62 | $26.62 | |
United
| Professional | $26.62 | $26.62 | $26.62 |
Neox Flo or Clarix Flo 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.62 | $26.62 | $27.69 | |
Cigna
| Facility | $25.12 | $26.62 | $26.62 | |
Cigna
| Professional | $26.62 | $26.62 | $26.62 | |
United
| Professional | $26.62 | $26.62 | $26.62 |