| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.14 | $22.14 | $26.53 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $23.88 | $832.44 | $832.44 |
Cyclophosphamide, 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.14 | $22.14 | $26.53 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $23.88 | $832.44 | $832.44 |