| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $26.92 | $26.92 | $26.92 | |
United
| Professional | $29.51 | $29.51 | $29.51 |
Injection, chloroprocaine HCl, per 30 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $26.92 | $26.92 | $26.92 | |
United
| Professional | $29.51 | $29.51 | $29.51 |