| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.50 | $57.80 | $63.58 | |
Cigna
| Professional | $67.45 | $67.45 | $128.59 | |
MVP Health Care
| Professional | $67.45 | $67.45 | $128.59 |
Red Blood Cells Each Unit (Special Coverage Instructions Apply. See Mcm: 2455a)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.50 | $57.80 | $63.58 | |
Cigna
| Professional | $67.45 | $67.45 | $128.59 | |
MVP Health Care
| Professional | $67.45 | $67.45 | $128.59 |