| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $27.87 | $27.87 | $27.87 | |
CareSource
| Professional | $24.77 | $24.77 | $119,998.80 | |
Cigna
| Professional | $17.35 | $17.35 | $21.68 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $27.87 | $27.87 | $27.87 | |
CareSource
| Professional | $24.77 | $24.77 | $119,998.80 | |
Cigna
| Professional | $17.35 | $17.35 | $21.68 |