| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,754.23 | $2,754.23 | $2,754.23 |
Administration, Processing and Storage for Blood and Blood Components-Other Blood Handling
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,754.23 | $2,754.23 | $2,754.23 |