| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.13 | $28.13 | $35.15 | |
Medcost
| Professional | $24.42 | $24.42 | $28.10 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Dihydrocodeinone
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.13 | $28.13 | $35.15 | |
Medcost
| Professional | $24.42 | $24.42 | $28.10 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |