| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.63 | $10.64 | $10.64 | |
Aetna
| Professional | $7.13 | $8.88 | $10.64 | |
Anthem BCBS
| Professional | $4.07 | $20.00 | $25.13 | |
Medica
| Facility | $8.63 | $17.44 | $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 | $8.63 | $10.64 | $10.64 | |
Aetna
| Professional | $7.13 | $8.88 | $10.64 | |
Anthem BCBS
| Professional | $4.07 | $20.00 | $25.13 | |
Medica
| Facility | $8.63 | $17.44 | $885.11 |