| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.00 | $126.00 | $166.00 | |
Ambetter
| Facility | $36.15 | $36.15 | $36.15 | |
Cigna
| Facility | $80.00 | $105.00 | $238.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |
Pt/Group Rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.00 | $126.00 | $166.00 | |
Ambetter
| Facility | $36.15 | $36.15 | $36.15 | |
Cigna
| Facility | $80.00 | $105.00 | $238.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |