| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.46 | $11.46 | $11.46 | |
Aetna
| Professional | $7.06 | $8.75 | $20.00 | |
BCBS
| Professional | $19.38 | $19.38 | $19.38 | |
Medica
| Facility | $4.94 | $8.63 | $885.11 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.46 | $11.46 | $11.46 | |
Aetna
| Professional | $7.06 | $8.75 | $20.00 | |
BCBS
| Professional | $19.38 | $19.38 | $19.38 | |
Medica
| Facility | $4.94 | $8.63 | $885.11 |