| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1.38 | $4.21 | $18.21 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Medica
| Facility | $2.60 | $10.68 | $43.04 |
Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1.38 | $4.21 | $18.21 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Medica
| Facility | $2.60 | $10.68 | $43.04 |