| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.33 | $111.43 | $111.43 | |
Ambetter
| Facility | $51.67 | $133.16 | $290.26 | |
Medica
| Facility | $48.19 | $71.25 | $160.32 |
Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.33 | $111.43 | $111.43 | |
Ambetter
| Facility | $51.67 | $133.16 | $290.26 | |
Medica
| Facility | $48.19 | $71.25 | $160.32 |