| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $22.72 | $22.72 | |
Aetna
| Professional | $4.92 | $20.00 | $22.72 | |
Florida Blue
| Professional | $3.68 | $6.51 | $9.69 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $22.72 | $22.72 | |
Aetna
| Professional | $4.92 | $20.00 | $22.72 | |
Florida Blue
| Professional | $3.68 | $6.51 | $9.69 |