| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.97 | $22.97 | $28.71 | |
MVP Health Care
| Facility | $13.73 | $19.91 | $254.50 | |
MVP Health Care
| Professional | $22.97 | $28.71 | $30.12 |
Drug Scr Qual 1 Drug Class Meth Ea Drug Class
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.97 | $22.97 | $28.71 | |
MVP Health Care
| Facility | $13.73 | $19.91 | $254.50 | |
MVP Health Care
| Professional | $22.97 | $28.71 | $30.12 |