| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.00 | $44.00 | $44.00 | |
Aetna
| Professional | $44.00 | $44.00 | $55.00 | |
Quartz
| Facility | $212.45 | $212.45 | $212.45 |
Inj., Xipere, 1 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.00 | $44.00 | $44.00 | |
Aetna
| Professional | $44.00 | $44.00 | $55.00 | |
Quartz
| Facility | $212.45 | $212.45 | $212.45 |