| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.57 | $1.57 | $10.93 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
United
| Professional | $18.00 | $24.00 | $52.80 |
Pharmacy supply fee for oral anticancer, oral antiemetic, or immunosuppressive drug(s); for the first prescription in a 30-day period
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.57 | $1.57 | $10.93 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
United
| Professional | $18.00 | $24.00 | $52.80 |