| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.79 | $573.79 | $573.79 | |
Aetna
| Professional | $141.24 | $141.24 | $150.07 | |
United
| Professional | $136.80 | $136.80 | $150.00 |
Injection, trimetrexate glucuronate, per 25 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.79 | $573.79 | $573.79 | |
Aetna
| Professional | $141.24 | $141.24 | $150.07 | |
United
| Professional | $136.80 | $136.80 | $150.00 |