| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $0.14 | $0.18 | $1.30 | |
Medica
| Facility | $17.00 | $17.00 | $43.68 |
Pharmacy - Drugs Incident to Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $0.14 | $0.18 | $1.30 | |
Medica
| Facility | $17.00 | $17.00 | $43.68 |