| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $87.10 | $87.10 | $104.71 | |
Molina
| Professional | $60.26 | $60.26 | $83.18 | |
Providence
| Facility | $79.43 | $97.72 | $125.89 | |
United
| Professional | $97.72 | $97.72 | $104.71 |
Injection, plicamycin, 2.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $87.10 | $87.10 | $104.71 | |
Molina
| Professional | $60.26 | $60.26 | $83.18 | |
Providence
| Facility | $79.43 | $97.72 | $125.89 | |
United
| Professional | $97.72 | $97.72 | $104.71 |