| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $44,999.55 | $44,999.55 | $69,999.30 | |
Cigna
| Professional | $1,156.89 | $1,156.89 | $1,156.89 |
NOC drugs, other than inhalation drugs, administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $44,999.55 | $44,999.55 | $69,999.30 | |
Cigna
| Professional | $1,156.89 | $1,156.89 | $1,156.89 |