| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.83 | $1.83 | $2.21 | |
Cigna
| Professional | $1.83 | $1.83 | $1.83 | |
Highmark BCBS
| Facility | $10.06 | $10.06 | $10.06 | |
United
| Professional | $1.74 | $1.83 | $2.20 |
Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.83 | $1.83 | $2.21 | |
Cigna
| Professional | $1.83 | $1.83 | $1.83 | |
Highmark BCBS
| Facility | $10.06 | $10.06 | $10.06 | |
United
| Professional | $1.74 | $1.83 | $2.20 |