| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $300.68 | $300.68 | $300.68 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Blood and Blood Components-Packed Red Cells
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $300.68 | $300.68 | $300.68 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |