| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.00 | $61.00 | $61.00 | |
BCBS
| Facility | $31.91 | $38.49 | $51.96 |
Daily Hosp Mgmt Edrl/Sarach Cont Drug Admn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.00 | $61.00 | $61.00 | |
BCBS
| Facility | $31.91 | $38.49 | $51.96 |