| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,663.16 | $15,663.16 | $16,463.20 |
Other O.R. proc of the blood & blood forming organs w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15,663.16 | $15,663.16 | $16,463.20 |