| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $3,102.50 | $59,702.01 | $59,702.01 | |
CareSource
| Professional | $3,102.50 | $3,102.50 | $3,102.50 | |
Cigna
| Professional | $677.33 | $677.33 | $677.33 |
Corplex P, per cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $3,102.50 | $59,702.01 | $59,702.01 | |
CareSource
| Professional | $3,102.50 | $3,102.50 | $3,102.50 | |
Cigna
| Professional | $677.33 | $677.33 | $677.33 |