| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21,472.15 | $21,472.15 | $22,568.90 |
Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21,472.15 | $21,472.15 | $22,568.90 |