| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $79.43 | $83.18 | $100.00 | |
Medica
| Professional | $97.72 | $97.72 | $114.82 | |
United
| Professional | $93.33 | $97.72 | $109.65 |
Injection, plicamycin, 2.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $79.43 | $83.18 | $100.00 | |
Medica
| Professional | $97.72 | $97.72 | $114.82 | |
United
| Professional | $93.33 | $97.72 | $109.65 |