| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.83 | $8.40 | $8.40 | |
BCBS
| Professional | $52.00 | $52.00 | $52.00 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.83 | $8.40 | $8.40 | |
BCBS
| Professional | $52.00 | $52.00 | $52.00 |