| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $80.00 | $85.00 | $85.00 | |
Providence
| Facility | $0.03 | $0.03 | $0.03 |
Injection, bamlanivimab and etesevimab, 2100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $80.00 | $85.00 | $85.00 | |
Providence
| Facility | $0.03 | $0.03 | $0.03 |