| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $5.58 | $5.58 | $79,999.20 |
Injection, droperidol and fentanyl citrate, up to 2 ml ampule
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $5.58 | $5.58 | $79,999.20 |