| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.09 | $10.09 | $10.09 | |
Cigna
| Facility | $10.09 | $10.09 | $10.09 | |
Cigna
| Professional | $10.09 | $10.09 | $10.09 | |
United
| Professional | $10.09 | $10.09 | $31.16 |
Interfyl, 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.09 | $10.09 | $10.09 | |
Cigna
| Facility | $10.09 | $10.09 | $10.09 | |
Cigna
| Professional | $10.09 | $10.09 | $10.09 | |
United
| Professional | $10.09 | $10.09 | $31.16 |