| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.76 | $88.76 | $88.76 | |
Martin's Point
| Professional | $88.76 | $88.76 | $88.76 |
Plasma (Single Donor) Pathogen Reduced Frozen Each Unit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.76 | $88.76 | $88.76 | |
Martin's Point
| Professional | $88.76 | $88.76 | $88.76 |