| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.14 | $22.14 | $26.53 | |
Providence
| Facility | $22.43 | $22.43 | $22.43 | |
Providence
| Professional | $19.73 | $22.43 | $24.58 |
Cyclophosphamide, 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.14 | $22.14 | $26.53 | |
Providence
| Facility | $22.43 | $22.43 | $22.43 | |
Providence
| Professional | $19.73 | $22.43 | $24.58 |