| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,111.00 | $4,097.10 | $8,230.00 | |
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 |
Supchrdl Njx Of Rx Agt W/O Supply Of Medication
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,111.00 | $4,097.10 | $8,230.00 | |
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 |