| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $3.13 | $3.13 | $3.13 | |
United
| Professional | $2.24 | $2.24 | $2.24 |
Injection, mannitol, 25% in 50 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $3.13 | $3.13 | $3.13 | |
United
| Professional | $2.24 | $2.24 | $2.24 |