| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.38 | $2.38 | $2.38 | |
Harvard Pilgrim
| Professional | $50.38 | $50.38 | $50.38 |
Hemophilia Clot Factor Noc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.38 | $2.38 | $2.38 | |
Harvard Pilgrim
| Professional | $50.38 | $50.38 | $50.38 |