| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.42 | $2.61 | $2.61 | |
Cigna
| Professional | $1.42 | $1.42 | $1.42 | |
United
| Professional | $1.51 | $2.09 | $2.56 |
Injection, levoleucovorin (Khapzory), 0.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.42 | $2.61 | $2.61 | |
Cigna
| Professional | $1.42 | $1.42 | $1.42 | |
United
| Professional | $1.51 | $2.09 | $2.56 |