| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
Providence
| Facility | $2.19 | $2.19 | $2.19 | |
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 |
|---|---|---|---|---|---|
Lucent Health
| Facility | $75.00 | $100.00 | $100.00 | |
Providence
| Facility | $2.19 | $2.19 | $2.19 | |
United
| Professional | $2.24 | $2.24 | $2.24 |