| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.26 | $43.26 | $43.26 | |
ConnectiCare
| Facility | $300.00 | $2,346.67 | $2,518.00 |
Daily Hosp Mgmt Edrl/Sarach Cont Drug Admn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.26 | $43.26 | $43.26 | |
ConnectiCare
| Facility | $300.00 | $2,346.67 | $2,518.00 |