| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1.12 | $4.27 | $75.86 | |
Medica
| Professional | $2.24 | $2.24 | $3.80 | |
United
| Facility | $2.24 | $2.24 | $4.68 | |
United
| Professional | $2.24 | $2.24 | $2.51 |
Injection, mannitol, 25% in 50 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1.12 | $4.27 | $75.86 | |
Medica
| Professional | $2.24 | $2.24 | $3.80 | |
United
| Facility | $2.24 | $2.24 | $4.68 | |
United
| Professional | $2.24 | $2.24 | $2.51 |