| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $4,786.30 | $15,135.61 | $17,378.01 | |
Kaiser Permanente
| Facility | $199.53 | $199.53 | $338.84 |
Pharmacy-IV Solutions
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $4,786.30 | $15,135.61 | $17,378.01 | |
Kaiser Permanente
| Facility | $199.53 | $199.53 | $338.84 |