| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $30.10 | $38.00 | $78.00 | |
United
| Professional | $9.58 | $10.16 | $25.52 |
Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $30.10 | $38.00 | $78.00 | |
United
| Professional | $9.58 | $10.16 | $25.52 |