| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $24.06 | $118.41 | $155.85 | |
Cigna
| Facility | $76.50 | $76.50 | $90.00 |
Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $24.06 | $118.41 | $155.85 | |
Cigna
| Facility | $76.50 | $76.50 | $90.00 |