| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.26 | $3.26 | $5.68 | |
Aetna
| Professional | $3.26 | $5.57 | $9.38 | |
BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |
Drugs/Medicaments Dispensed Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.26 | $3.26 | $5.68 | |
Aetna
| Professional | $3.26 | $5.57 | $9.38 | |
BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |