| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.00 | $88.00 | $105.00 | |
Ambetter
| Facility | $72.50 | $133.00 | $153.55 | |
Cigna
| Facility | $46.00 | $52.00 | $1,286.00 | |
Medica
| Facility | $56.45 | $139.08 | $155.65 |
Clinic-General classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.00 | $88.00 | $105.00 | |
Ambetter
| Facility | $72.50 | $133.00 | $153.55 | |
Cigna
| Facility | $46.00 | $52.00 | $1,286.00 | |
Medica
| Facility | $56.45 | $139.08 | $155.65 |