| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $753.00 | |
Aetna
| Professional | $5.05 | $20.00 | $20.00 | |
Horizon BCBS
| Professional | $5.41 | $6.36 | $6.60 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $753.00 | |
Aetna
| Professional | $5.05 | $20.00 | $20.00 | |
Horizon BCBS
| Professional | $5.41 | $6.36 | $6.60 |