| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $137.76 | $137.76 | $137.76 | |
Providence
| Facility | $67.98 | $152.10 | $160.66 |
Impltj Brain Intracavitary Chemotherapy Agent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $137.76 | $137.76 | $137.76 | |
Providence
| Facility | $67.98 | $152.10 | $160.66 |