| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $97.72 | $97.72 | $109.65 | |
Well Sense
| Facility | $83.18 | $83.18 | $141.25 |
Injection, plicamycin, 2.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $97.72 | $97.72 | $109.65 | |
Well Sense
| Facility | $83.18 | $83.18 | $141.25 |