| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $995.14 | $995.14 | $995.14 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,735.00 |
Not otherwise classified, antineoplastic drugs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $995.14 | $995.14 | $995.14 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,735.00 |