| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $317.83 | $317.83 | $317.83 | |
Medcost
| Facility | $110.88 | $278.00 | $390.77 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Njxs Infus/Bolus Dx/Sbst Edrl/Subarach Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $317.83 | $317.83 | $317.83 | |
Medcost
| Facility | $110.88 | $278.00 | $390.77 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |