| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.88 | $2.88 | $2.88 | |
Medical Mutual of Ohio
| Facility | $2.88 | $2.88 | $2.88 |
Xyntha inj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.88 | $2.88 | $2.88 | |
Medical Mutual of Ohio
| Facility | $2.88 | $2.88 | $2.88 |