| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.78 | $24.78 | $30.98 | |
Medcost
| Facility | $10.89 | $23.78 | $30.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Glutamine (glutamic acid amide)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $24.78 | $24.78 | $30.98 | |
Medcost
| Facility | $10.89 | $23.78 | $30.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |