| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $78.04 | $80.04 | $140.07 | |
CareSource
| Professional | $77.51 | $77.51 | $80.04 | |
Cigna
| Professional | $103.52 | $103.52 | $103.52 |
Injection, thiotepa, 15 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $78.04 | $80.04 | $140.07 | |
CareSource
| Professional | $77.51 | $77.51 | $80.04 | |
Cigna
| Professional | $103.52 | $103.52 | $103.52 |