| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $54.95 | $263.03 | $2,187.76 |
Administration, Processing and Storage for Blood and Blood Components-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $54.95 | $263.03 | $2,187.76 |