| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $3,869.00 | $3,869.00 | $41,999.58 | |
CareSource
| Professional | $3,869.00 | $3,869.00 | $3,869.00 | |
Cigna
| Professional | $677.33 | $677.33 | $849.01 |
Corplex P, per cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $3,869.00 | $3,869.00 | $41,999.58 | |
CareSource
| Professional | $3,869.00 | $3,869.00 | $3,869.00 | |
Cigna
| Professional | $677.33 | $677.33 | $849.01 |