| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $87.10 | $87.10 | $104.71 | |
United
| Facility | $97.72 | $97.72 | $97.72 | |
United
| Professional | $83.18 | $97.72 | $112.20 |
Injection, plicamycin, 2.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $87.10 | $87.10 | $104.71 | |
United
| Facility | $97.72 | $97.72 | $97.72 | |
United
| Professional | $83.18 | $97.72 | $112.20 |