| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.94 | $5.57 | $6.74 | |
Aetna
| Professional | $4.94 | $5.75 | $10.64 | |
BCBS
| Professional | $17.79 | $20.64 | $20.88 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.94 | $5.57 | $6.74 | |
Aetna
| Professional | $4.94 | $5.75 | $10.64 | |
BCBS
| Professional | $17.79 | $20.64 | $20.88 |