| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1.51 | $6.76 | $338.84 | |
Oscar Health
| Facility | $1,230.27 | $1,445.44 | $1,445.44 |
Pharmacy - Drugs Incident to Radiology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1.51 | $6.76 | $338.84 | |
Oscar Health
| Facility | $1,230.27 | $1,445.44 | $1,445.44 |