| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $10,480.26 | $10,480.26 | $10,480.26 | |
Medcost
| Facility | $9,516.11 | $9,516.11 | $16,177.39 | |
Medcost
| Professional | $9,715.23 | $9,715.23 | $9,715.23 |
Procenta, Per 200 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $10,480.26 | $10,480.26 | $10,480.26 | |
Medcost
| Facility | $9,516.11 | $9,516.11 | $16,177.39 | |
Medcost
| Professional | $9,715.23 | $9,715.23 | $9,715.23 |