| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $109.65 | $109.65 | $109.65 | |
Geisinger
| Facility | $81.28 | $141.25 | $169.82 |
Blood component/product noc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $109.65 | $109.65 | $109.65 | |
Geisinger
| Facility | $81.28 | $141.25 | $169.82 |