| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.88 | $34.88 | $43.59 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Sanford Health Plan
| Professional | $41.98 | $69.95 | $69.95 |
Assay of dihydromorphinone
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.88 | $34.88 | $43.59 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Sanford Health Plan
| Professional | $41.98 | $69.95 | $69.95 |