| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $3.84 | $11.00 | $55.00 | |
Moda Health
| Facility | $1.70 | $6.25 | $178.26 | |
Oscar Health
| Facility | $334.00 | $879.00 | $1,418.00 |
Pharmacy - Other Pharmacy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $3.84 | $11.00 | $55.00 | |
Moda Health
| Facility | $1.70 | $6.25 | $178.26 | |
Oscar Health
| Facility | $334.00 | $879.00 | $1,418.00 |