| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $144.54 | $154.88 | $181.97 | |
Molina
| Professional | $50.12 | $64.57 | $79.43 | |
Pacific Source
| Facility | $128.82 | $165.96 | $165.96 |
Bcg live intravesical vac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $144.54 | $154.88 | $181.97 | |
Molina
| Professional | $50.12 | $64.57 | $79.43 | |
Pacific Source
| Facility | $128.82 | $165.96 | $165.96 |