| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.51 | $3.02 | $8.91 | |
Anthem BCBS
| Professional | $181.97 | $213.80 | $239.88 | |
United
| Professional | $50.12 | $50.12 | $50.12 |
NOC drugs, other than inhalation drugs, administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.51 | $3.02 | $8.91 | |
Anthem BCBS
| Professional | $181.97 | $213.80 | $239.88 | |
United
| Professional | $50.12 | $50.12 | $50.12 |