| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.58 | $7.58 | $7.58 | |
Cigna
| Professional | $2.60 | $5.25 | $6.56 | |
MVP Health Care
| Professional | $3.97 | $5.25 | $6.56 | |
United
| Professional | $2.16 | $3.67 | $8.55 |
Congo Red Blood (Special Coverage Instructions Apply. See Cim: 50-34)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.58 | $7.58 | $7.58 | |
Cigna
| Professional | $2.60 | $5.25 | $6.56 | |
MVP Health Care
| Professional | $3.97 | $5.25 | $6.56 | |
United
| Professional | $2.16 | $3.67 | $8.55 |