| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $103.52 | $103.52 | $103.52 | |
Horizon BCBS
| Facility | $245.05 | $1,031.85 | $13,785.00 | |
Horizon BCBS
| Professional | $245.05 | $245.05 | $282.35 |
Injection, thiotepa, 15 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $103.52 | $103.52 | $103.52 | |
Horizon BCBS
| Facility | $245.05 | $1,031.85 | $13,785.00 | |
Horizon BCBS
| Professional | $245.05 | $245.05 | $282.35 |