| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.29 | $2.29 | $2.29 | |
Medical Mutual of Ohio
| Facility | $2.29 | $2.29 | $2.29 |
Antihemophilic viii/vwf comp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.29 | $2.29 | $2.29 | |
Medical Mutual of Ohio
| Facility | $2.29 | $2.29 | $2.29 |