| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,581.02 | $2,150.01 | $2,775.98 | |
Providence
| Facility | $1,581.02 | $2,150.01 | $3,787.10 |
Level 2 Blood Product Exchange and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,581.02 | $2,150.01 | $2,775.98 | |
Providence
| Facility | $1,581.02 | $2,150.01 | $3,787.10 |