| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $36.92 | $36.92 | $36.92 | |
Priority Health
| Facility | $36.92 | $36.92 | $36.92 |
Factor xiii recomb a-subunit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $36.92 | $36.92 | $36.92 | |
Priority Health
| Facility | $36.92 | $36.92 | $36.92 |