| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $26.70 | $137.34 | $849.77 | |
Cigna
| Facility | $15.00 | $15.00 | $60.00 | |
Qualchoice
| Facility | $30.71 | $222.88 | $977.24 |
Clinic-General classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $26.70 | $137.34 | $849.77 | |
Cigna
| Facility | $15.00 | $15.00 | $60.00 | |
Qualchoice
| Facility | $30.71 | $222.88 | $977.24 |