| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $8.74 | $52,149.48 | $62,999.37 | |
Cigna
| Professional | $4.59 | $4.59 | $4.59 |
Inj Pantoprazole Sodium, Via
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $8.74 | $52,149.48 | $62,999.37 | |
Cigna
| Professional | $4.59 | $4.59 | $4.59 |