| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.41 | $5.41 | $5.41 | |
Providence
| Professional | $5.50 | $8.25 | $10.71 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.41 | $5.41 | $5.41 | |
Providence
| Professional | $5.50 | $8.25 | $10.71 |