| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.71 | $311.20 | $400.00 | |
BCBS
| Facility | $214.71 | $396.48 | $1,251.68 | |
Cigna
| Professional | $116.04 | $116.04 | $116.04 | |
United
| Professional | $57.70 | $57.70 | $57.70 |
Platelet Rich Plasma Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.71 | $311.20 | $400.00 | |
BCBS
| Facility | $214.71 | $396.48 | $1,251.68 | |
Cigna
| Professional | $116.04 | $116.04 | $116.04 | |
United
| Professional | $57.70 | $57.70 | $57.70 |