| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.11 | $10.93 | $10.93 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
United
| Professional | $20.60 | $26.40 | $42.00 |
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 | $0.11 | $10.93 | $10.93 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
United
| Professional | $20.60 | $26.40 | $42.00 |