| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4.93 | $9.01 | $12.77 | |
Cigna
| Professional | $3.75 | $3.86 | $4.69 | |
Quartz
| Facility | $90.00 | $90.00 | $90.00 |
Hydroxyprogesterone Caproate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4.93 | $9.01 | $12.77 | |
Cigna
| Professional | $3.75 | $3.86 | $4.69 | |
Quartz
| Facility | $90.00 | $90.00 | $90.00 |