| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Emblem Health
| Professional | $25.00 | $25.00 | $25.00 |
Keroxx (2.5g/cc), 1cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Emblem Health
| Professional | $25.00 | $25.00 | $25.00 |