| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $12,592.80 | $12,592.80 | $41,999.58 | |
CareSource
| Professional | $12,592.80 | $12,592.80 | $12,592.80 | |
Cigna
| Professional | $61.45 | $10,480.26 | $10,480.26 |
Procenta, per 200 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $12,592.80 | $12,592.80 | $41,999.58 | |
CareSource
| Professional | $12,592.80 | $12,592.80 | $12,592.80 | |
Cigna
| Professional | $61.45 | $10,480.26 | $10,480.26 |