| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $3,182.00 | $52,399.48 | $52,399.48 | |
Fidelis
| Facility | $788.12 | $788.12 | $788.12 |
Blood-Other Components
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $3,182.00 | $52,399.48 | $52,399.48 | |
Fidelis
| Facility | $788.12 | $788.12 | $788.12 |