| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.35 | $264.35 | $264.35 | |
United
| Professional | $378.23 | $393.69 | $1,148.76 |
Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.35 | $264.35 | $264.35 | |
United
| Professional | $378.23 | $393.69 | $1,148.76 |