| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.00 | $416.00 | $416.00 | |
Medica
| Facility | $17,192.32 | $17,192.32 | $41,419.50 |
Acquisition of Body Components-Stem Cells-Allogeneic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.00 | $416.00 | $416.00 | |
Medica
| Facility | $17,192.32 | $17,192.32 | $41,419.50 |