| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.87 | $23.88 | $29.90 | |
Cigna
| Facility | $63.86 | $63.86 | $63.86 | |
Cigna
| Professional | $23.88 | $23.88 | $23.88 | |
United
| Professional | $23.88 | $26.51 | $64.38 |
Mitoxantrone Hydrochl / 5 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.87 | $23.88 | $29.90 | |
Cigna
| Facility | $63.86 | $63.86 | $63.86 | |
Cigna
| Professional | $23.88 | $23.88 | $23.88 | |
United
| Professional | $23.88 | $26.51 | $64.38 |