| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $109.66 | $109.66 | $280.62 | |
Medcost
| Facility | $101.90 | $234.14 | $347.69 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Njx Infus/Bolus Dx/Sbst Edrl/Subarach Lum/Sacral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $109.66 | $109.66 | $280.62 | |
Medcost
| Facility | $101.90 | $234.14 | $347.69 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |