| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,479.11 | $1,479.11 | $1,479.11 | |
Geisinger
| Facility | $1,071.52 | $1,584.89 | $2,290.87 |
RBC deglycerolized
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,479.11 | $1,479.11 | $1,479.11 | |
Geisinger
| Facility | $1,071.52 | $1,584.89 | $2,290.87 |