| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.00 | $189.00 | $189.00 | |
Ambetter
| Facility | $22.29 | $25.74 | $36.20 | |
BCBS
| Facility | $115.00 | $115.00 | $130.00 | |
Cigna
| Facility | $75.00 | $150.00 | $322.00 |
Pt/Group Rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.00 | $189.00 | $189.00 | |
Ambetter
| Facility | $22.29 | $25.74 | $36.20 | |
BCBS
| Facility | $115.00 | $115.00 | $130.00 | |
Cigna
| Facility | $75.00 | $150.00 | $322.00 |