| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medcost
| Facility | $0.60 | $1.00 | $5.37 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $66.07 | $66.07 | $67.61 |
Not otherwise classified, antineoplastic drugs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medcost
| Facility | $0.60 | $1.00 | $5.37 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $66.07 | $66.07 | $67.61 |