| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.50 | $47.50 | $52.67 | |
Cigna
| Professional | $29.52 | $29.52 | $29.52 | |
United
| Professional | $58.19 | $87.81 | $176.28 |
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.50 | $47.50 | $52.67 | |
Cigna
| Professional | $29.52 | $29.52 | $29.52 | |
United
| Professional | $58.19 | $87.81 | $176.28 |