| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.00 | $153.00 | $153.00 | |
Ambetter
| Facility | $15.57 | $16.84 | $18.86 | |
Cigna
| Facility | $65.00 | $75.00 | $194.00 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Pt/Group Rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.00 | $153.00 | $153.00 | |
Ambetter
| Facility | $15.57 | $16.84 | $18.86 | |
Cigna
| Facility | $65.00 | $75.00 | $194.00 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |