| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,152.55 | $6,060.78 | $12,447.34 | |
Cigna
| Facility | $11,529.42 | $11,529.42 | $11,529.42 | |
Medical Mutual of Ohio
| Facility | $11,529.42 | $11,529.42 | $11,529.42 |
Level 3 Blood Product Exchange and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,152.55 | $6,060.78 | $12,447.34 | |
Cigna
| Facility | $11,529.42 | $11,529.42 | $11,529.42 | |
Medical Mutual of Ohio
| Facility | $11,529.42 | $11,529.42 | $11,529.42 |