| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $47.36 | $149.06 | $243.00 | |
Cigna
| Facility | $92.00 | $92.00 | $257.00 |
Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $47.36 | $149.06 | $243.00 | |
Cigna
| Facility | $92.00 | $92.00 | $257.00 |