| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $318.17 | $318.17 | $318.17 | |
Molina
| Professional | $30.00 | $192.17 | $226.08 |
Injection, thiotepa, 15 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $318.17 | $318.17 | $318.17 | |
Molina
| Professional | $30.00 | $192.17 | $226.08 |