| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Professional | $250.32 | $250.32 | $250.32 | |
Cigna
| Professional | $142.65 | $142.65 | $178.31 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Professional | $250.32 | $250.32 | $250.32 | |
Cigna
| Professional | $142.65 | $142.65 | $178.31 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |