| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1.11 | $4.03 | $13.14 | |
Medica
| Facility | $3.58 | $15.39 | $492.13 |
Pharmacy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1.11 | $4.03 | $13.14 | |
Medica
| Facility | $3.58 | $15.39 | $492.13 |