| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $66.00 | $1,576.51 | $1,576.51 | |
United
| Professional | $66.00 | $66.00 | $66.00 |
Chemotherapy Drug
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $66.00 | $1,576.51 | $1,576.51 | |
United
| Professional | $66.00 | $66.00 | $66.00 |