| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $321.11 | $321.11 | $321.11 | |
CareSource
| Professional | $285.43 | $119,998.80 | $119,998.80 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $321.11 | $321.11 | $321.11 | |
CareSource
| Professional | $285.43 | $119,998.80 | $119,998.80 |