| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $10,508.52 | $10,508.52 | $10,508.52 | |
Priority Health
| Facility | $10,508.52 | $10,508.52 | $10,508.52 |
Level 3 Blood Product Exchange and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $10,508.52 | $10,508.52 | $10,508.52 | |
Priority Health
| Facility | $10,508.52 | $10,508.52 | $10,508.52 |