| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.13 | $28.13 | $35.15 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Sanford Health Plan
| Professional | $9.49 | $15.82 | $56.20 |
Assay of dihydrocodeinone
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.13 | $28.13 | $35.15 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Sanford Health Plan
| Professional | $9.49 | $15.82 | $56.20 |