| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
Cigna
| Professional | $163.88 | $173.71 | $208.13 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
Cigna
| Professional | $163.88 | $173.71 | $208.13 |