| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $252.17 | $277.14 | $434.06 | |
Medica
| Facility | $1,080.00 | $2,376.94 | $2,376.94 | |
Medica
| Professional | $235.06 | $2,184.00 | $2,184.00 |
Injection, thiotepa, 15 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $252.17 | $277.14 | $434.06 | |
Medica
| Facility | $1,080.00 | $2,376.94 | $2,376.94 | |
Medica
| Professional | $235.06 | $2,184.00 | $2,184.00 |