| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,676.80 | $3,676.80 | $3,676.80 | |
Priority Health
| Facility | $3,676.80 | $3,676.80 | $3,676.80 |
Level 2 Blood Product Exchange and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,676.80 | $3,676.80 | $3,676.80 | |
Priority Health
| Facility | $3,676.80 | $3,676.80 | $3,676.80 |