| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $0.98 | $1.44 | $8.24 | |
BCBS
| Professional | $1.19 | $1.44 | $1.44 | |
Medica
| Professional | $6.84 | $6.84 | $6.84 |
Unspecified Oral Dosage Form, Fda Approved Prescription Antieme
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $0.98 | $1.44 | $8.24 | |
BCBS
| Professional | $1.19 | $1.44 | $1.44 | |
Medica
| Professional | $6.84 | $6.84 | $6.84 |