| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.85 | $1.00 | $1.00 | |
CareSource
| Facility | $41,686.94 | $52,480.75 | $63,095.73 | |
Cigna
| Professional | $74.13 | $74.13 | $74.13 |
Vaccinia immune globulin, human, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.85 | $1.00 | $1.00 | |
CareSource
| Facility | $41,686.94 | $52,480.75 | $63,095.73 | |
Cigna
| Professional | $74.13 | $74.13 | $74.13 |