| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $67.61 | $67.61 | $67.61 | |
Providence
| Facility | $60.26 | $63.10 | $89.13 | |
United
| Professional | $125.89 | $125.89 | $125.89 |
Injection, urofollitropin, 75 IU
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $67.61 | $67.61 | $67.61 | |
Providence
| Facility | $60.26 | $63.10 | $89.13 | |
United
| Professional | $125.89 | $125.89 | $125.89 |