| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $9.40 | $45.15 | $92.94 | |
United
| Facility | $4,976.00 | $4,976.00 | $4,976.00 |
Pharmacy - IV Solutions
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $9.40 | $45.15 | $92.94 | |
United
| Facility | $4,976.00 | $4,976.00 | $4,976.00 |