| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.14 | $5.14 | $5.14 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $15.00 | |
Medica
| Facility | $5.14 | $5.59 | $11.43 | |
Medica
| Professional | $5.79 | $5.79 | $5.79 |
Bicarbonate conc pow per pac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.14 | $5.14 | $5.14 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $15.00 | |
Medica
| Facility | $5.14 | $5.59 | $11.43 | |
Medica
| Professional | $5.79 | $5.79 | $5.79 |