| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $27.42 | $27.42 | $124.17 | |
Medica
| Professional | $35.00 | $35.00 | $35.00 | |
Midlands
| Professional | $30.00 | $32.00 | $57.21 |
Drug Scr Qual 1 Drug Class Meth Ea Drug Class
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $27.42 | $27.42 | $124.17 | |
Medica
| Professional | $35.00 | $35.00 | $35.00 | |
Midlands
| Professional | $30.00 | $32.00 | $57.21 |