| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $105.00 | $107.00 | |
Ambetter
| Facility | $32.63 | $72.98 | $185.00 | |
BCBS
| Facility | $28.00 | $35.53 | $54.83 | |
Cigna
| Facility | $49.00 | $52.00 | $56.00 |
Clinic-General classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $105.00 | $107.00 | |
Ambetter
| Facility | $32.63 | $72.98 | $185.00 | |
BCBS
| Facility | $28.00 | $35.53 | $54.83 | |
Cigna
| Facility | $49.00 | $52.00 | $56.00 |