| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3.72 | $3.72 | $4.68 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 |
Hydroxyprogesterone caproate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3.72 | $3.72 | $4.68 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 |