| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |
Keroxx (2.5g/cc), 1cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |