| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.55 | $40.74 | $51.29 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $38.90 | $38.90 | $38.90 |
Amphetamine/Methamphetamine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.55 | $40.74 | $51.29 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $38.90 | $38.90 | $38.90 |