| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $67.58 | $78.98 | $121.15 | |
Cigna
| Professional | $28.13 | $28.97 | $35.15 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |
Dihydrocodeinone
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $67.58 | $78.98 | $121.15 | |
Cigna
| Professional | $28.13 | $28.97 | $35.15 | |
Quartz
| Facility | $60.00 | $60.00 | $90.00 |