| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $44,999.55 | $44,999.55 | $44,999.55 | |
Cigna
| Professional | $74.00 | $74.00 | $74.00 |
Vaccinia immune globulin, human, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $44,999.55 | $44,999.55 | $44,999.55 | |
Cigna
| Professional | $74.00 | $74.00 | $74.00 |