| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $35.00 | $220.00 | |
BCBS
| Facility | $1.00 | $321.52 | $612.52 | |
Medica
| Facility | $1,925.00 | $1,925.00 | $1,925.00 |
Daily Hosp Mgmt Edrl/Sarach Cont Drug Admn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $35.00 | $220.00 | |
BCBS
| Facility | $1.00 | $321.52 | $612.52 | |
Medica
| Facility | $1,925.00 | $1,925.00 | $1,925.00 |