| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $875.25 | $875.25 | $875.25 | |
Cigna
| Facility | $2,148.00 | $2,148.00 | $2,148.00 |
Administration, Processing and Storage for Blood and Blood Components-Administration (e.g., Transfusion)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $875.25 | $875.25 | $875.25 | |
Cigna
| Facility | $2,148.00 | $2,148.00 | $2,148.00 |