| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.63 | $20.63 | $25.78 | |
Medcost
| Professional | $13.05 | $13.05 | $20.62 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Cocaine or metabolite
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $20.63 | $20.63 | $25.78 | |
Medcost
| Professional | $13.05 | $13.05 | $20.62 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |