| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
University Health Alliance
| Professional | $2.65 | $2.65 | $2.65 |
Hydroxyprogesterone caproate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
University Health Alliance
| Professional | $2.65 | $2.65 | $2.65 |