| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.10 | $2.10 | $3.15 | |
Providence
| Facility | $2.10 | $2.10 | $5.09 |
Factor viii pegylated recomb
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.10 | $2.10 | $3.15 | |
Providence
| Facility | $2.10 | $2.10 | $5.09 |