| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $48,999.51 | $48,999.51 | $48,999.51 | |
CareSource
| Professional | $42,349.58 | $42,349.58 | $42,349.58 | |
Cigna
| Professional | $32.21 | $32.21 | $40.27 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $48,999.51 | $48,999.51 | $48,999.51 | |
CareSource
| Professional | $42,349.58 | $42,349.58 | $42,349.58 | |
Cigna
| Professional | $32.21 | $32.21 | $40.27 |