| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $16.00 | $85.00 | $3,604.12 | |
Moda Health
| Facility | $2.65 | $24.70 | $540.75 | |
Oscar Health
| Facility | $334.00 | $879.00 | $1,418.00 |
Pharmacy - Non-Generic Drugs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $16.00 | $85.00 | $3,604.12 | |
Moda Health
| Facility | $2.65 | $24.70 | $540.75 | |
Oscar Health
| Facility | $334.00 | $879.00 | $1,418.00 |