| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $3.80 | $14.13 | $54.95 | |
Oscar Health
| Facility | $660.69 | $977.24 | $1,412.54 |
Pharmacy-Other Pharmacy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $3.80 | $14.13 | $54.95 | |
Oscar Health
| Facility | $660.69 | $977.24 | $1,412.54 |