| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $264.66 | $264.66 | $317.08 | |
Medica
| Facility | $1,080.00 | $1,080.00 | $1,080.00 | |
Medica
| Professional | $221.75 | $2,184.00 | $2,184.00 |
Injection, thiotepa, 15 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $264.66 | $264.66 | $317.08 | |
Medica
| Facility | $1,080.00 | $1,080.00 | $1,080.00 | |
Medica
| Professional | $221.75 | $2,184.00 | $2,184.00 |