| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $15.31 | $294.45 | $1,597.51 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,800.00 |
Pharmacy - Drugs Incident to Other Diagnostic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $15.31 | $294.45 | $1,597.51 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,800.00 |