| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
Cigna
| Professional | $195.00 | $215.79 | $247.65 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
Cigna
| Professional | $195.00 | $215.79 | $247.65 |