| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,799.28 | $5,266.29 | $7,095.63 | |
Medica
| Facility | $0.78 | $3.45 | $44.40 |
Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,799.28 | $5,266.29 | $7,095.63 | |
Medica
| Facility | $0.78 | $3.45 | $44.40 |