| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.46 | $21.46 | $21.46 | |
Aetna
| Professional | $4.57 | $16.75 | $21.46 | |
Anthem BCBS
| Professional | $31.78 | $40.17 | $44.21 |
Drugs/Medicaments Dispensed Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.46 | $21.46 | $21.46 | |
Aetna
| Professional | $4.57 | $16.75 | $21.46 | |
Anthem BCBS
| Professional | $31.78 | $40.17 | $44.21 |