| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.09 | $2.09 | $3.16 | |
Providence
| Facility | $2.09 | $2.09 | $5.25 |
Factor viii pegylated recomb
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.09 | $2.09 | $3.16 | |
Providence
| Facility | $2.09 | $2.09 | $5.25 |