| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $348.26 | $348.26 | $348.26 | |
Cigna
| Professional | $272.30 | $367.79 | $624.97 |
Prolonged Svc Outpatient Setting 1st Hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $348.26 | $348.26 | $348.26 | |
Cigna
| Professional | $272.30 | $367.79 | $624.97 |