| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $203.20 | $276.33 | $356.78 | |
Providence
| Facility | $203.20 | $276.33 | $486.74 |
Level 3 Drug Administration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $203.20 | $276.33 | $356.78 | |
Providence
| Facility | $203.20 | $276.33 | $486.74 |