| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $4.50 | $13.72 | $41.65 | |
Emblem Health
| Facility | $56,999.43 | $56,999.43 | $56,999.43 |
Pharmacy - IV Solutions
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $4.50 | $13.72 | $41.65 | |
Emblem Health
| Facility | $56,999.43 | $56,999.43 | $56,999.43 |