| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $17.57 | $19.18 | $37.29 | |
Cigna
| Facility | $2.17 | $50.00 | $59.55 | |
Cigna
| Professional | $9.09 | $11.36 | $115.39 | |
United
| Professional | $9.32 | $10.63 | $33.01 |
Drug/Substance Definitive Qual/Quant Nos 7/More
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $17.57 | $19.18 | $37.29 | |
Cigna
| Facility | $2.17 | $50.00 | $59.55 | |
Cigna
| Professional | $9.09 | $11.36 | $115.39 | |
United
| Professional | $9.32 | $10.63 | $33.01 |