| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.41 | $5.42 | $7.26 | |
Moda Health
| Facility | $4.94 | $5.93 | $20.00 | |
Molina
| Professional | $1,500.00 | $1,500.00 | $1,500.00 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.41 | $5.42 | $7.26 | |
Moda Health
| Facility | $4.94 | $5.93 | $20.00 | |
Molina
| Professional | $1,500.00 | $1,500.00 | $1,500.00 |