| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $252.17 | $317.08 | $318.17 | |
Molina
| Professional | $795.00 | $874.50 | $1,272.00 |
Injection, thiotepa, 15 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $252.17 | $317.08 | $318.17 | |
Molina
| Professional | $795.00 | $874.50 | $1,272.00 |