| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $32.97 | $32.97 | $32.97 | |
Medical Mutual of Ohio
| Facility | $32.97 | $32.97 | $32.97 |
Factor xiii recomb a-subunit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $32.97 | $32.97 | $32.97 | |
Medical Mutual of Ohio
| Facility | $32.97 | $32.97 | $32.97 |