| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $58.55 | $58.55 | $64.34 | |
Kaiser Permanente
| Professional | $5,944.00 | $5,944.00 | $5,944.00 |
Procenta, Per 200 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $58.55 | $58.55 | $64.34 | |
Kaiser Permanente
| Professional | $5,944.00 | $5,944.00 | $5,944.00 |