| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $639.36 | $28,874.72 | $39,374.61 | |
CareSource
| Professional | $34,124.66 | $34,124.66 | $34,124.66 | |
Cigna
| Professional | $339.66 | $339.66 | $339.66 |
Visco-3 Inj Dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $639.36 | $28,874.72 | $39,374.61 | |
CareSource
| Professional | $34,124.66 | $34,124.66 | $34,124.66 | |
Cigna
| Professional | $339.66 | $339.66 | $339.66 |