| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.80 | $7.80 | $8.05 | |
Medica
| Facility | $5.07 | $8.75 | $885.11 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.80 | $7.80 | $8.05 | |
Medica
| Facility | $5.07 | $8.75 | $885.11 |