| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $4.63 | $4.78 | $9.36 | |
Kaiser Permanente
| Professional | $4.63 | $4.63 | $4.63 |
Inj Pantoprazole Sodium, Via
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $4.63 | $4.78 | $9.36 | |
Kaiser Permanente
| Professional | $4.63 | $4.63 | $4.63 |