| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.00 | $6.00 | $7.50 | |
Midlands
| Professional | $18.11 | $18.11 | $18.11 |
Injection Droperidol And Fentanyl Citrate Up To 2 Ml Ampule (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.00 | $6.00 | $7.50 | |
Midlands
| Professional | $18.11 | $18.11 | $18.11 |