| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $14.45 | $64.57 | $208.93 | |
Oscar Health
| Facility | $165.96 | $190.55 | $190.55 |
Pharmacy-IV Solutions
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $14.45 | $64.57 | $208.93 | |
Oscar Health
| Facility | $165.96 | $190.55 | $190.55 |