| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6.20 | $6.20 | $6.20 | |
Medical Mutual of Ohio
| Facility | $6.20 | $6.20 | $6.20 |
Factor viii recomb obizur
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6.20 | $6.20 | $6.20 | |
Medical Mutual of Ohio
| Facility | $6.20 | $6.20 | $6.20 |