| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.58 | $6.58 | $6.58 | |
Aetna
| Professional | $6.58 | $7.13 | $8.77 | |
Anthem BCBS
| Facility | $19.00 | $19.00 | $36.67 | |
Anthem BCBS
| Professional | $18.05 | $19.00 | $26.22 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.58 | $6.58 | $6.58 | |
Aetna
| Professional | $6.58 | $7.13 | $8.77 | |
Anthem BCBS
| Facility | $19.00 | $19.00 | $36.67 | |
Anthem BCBS
| Professional | $18.05 | $19.00 | $26.22 |