| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.00 | $48.00 | $444.00 | |
Quartz
| Professional | $294.45 | $294.45 | $294.45 |
Daily Hosp Mgmt Edrl/Sarach Cont Drug Admn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.00 | $48.00 | $444.00 | |
Quartz
| Professional | $294.45 | $294.45 | $294.45 |