| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.04 | $2.09 | $2.75 | |
Cigna
| Facility | $0.05 | $0.05 | $85.11 | |
Cigna
| Professional | $0.05 | $1.74 | $1.74 | |
United
| Professional | $0.05 | $0.05 | $0.83 |
Injection, levoleucovorin, not otherwise specified, 0.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.04 | $2.09 | $2.75 | |
Cigna
| Facility | $0.05 | $0.05 | $85.11 | |
Cigna
| Professional | $0.05 | $1.74 | $1.74 | |
United
| Professional | $0.05 | $0.05 | $0.83 |