| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $63.00 | $63.00 | |
Ambetter
| Facility | $52.88 | $154.13 | $203.28 | |
BCBS
| Facility | $10.56 | $22.28 | $42.72 |
Clinic-General classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $63.00 | $63.00 | |
Ambetter
| Facility | $52.88 | $154.13 | $203.28 | |
BCBS
| Facility | $10.56 | $22.28 | $42.72 |