| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3.75 | $3.75 | $4.69 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Midlands
| Facility | $0.41 | $0.41 | $0.46 | |
Midlands
| Professional | $0.41 | $0.55 | $0.69 |
Hydroxyprogesterone Caproate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3.75 | $3.75 | $4.69 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Midlands
| Facility | $0.41 | $0.41 | $0.46 | |
Midlands
| Professional | $0.41 | $0.55 | $0.69 |