| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.22 | $94.71 | $506.87 | |
Aetna
| Professional | $60.00 | $94.00 | $282.80 | |
BCBS
| Facility | $5.92 | $10.29 | $11.92 | |
Medica
| Facility | $0.33 | $100.00 | $100.00 |
Compounded drug, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.22 | $94.71 | $506.87 | |
Aetna
| Professional | $60.00 | $94.00 | $282.80 | |
BCBS
| Facility | $5.92 | $10.29 | $11.92 | |
Medica
| Facility | $0.33 | $100.00 | $100.00 |