| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,754.23 | $2,754.23 | $2,754.23 | |
BCBS
| Facility | $0.36 | $77.62 | $3,235.94 |
Pharmacy - Drugs Incident to Radiology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,754.23 | $2,754.23 | $2,754.23 | |
BCBS
| Facility | $0.36 | $77.62 | $3,235.94 |
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