| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.00 | $257.00 | $257.00 | |
Ambetter
| Facility | $211.41 | $280.27 | $288.72 | |
AmeriHealth
| Facility | $315.00 | $315.00 | $333.90 | |
Cigna
| Facility | $91.00 | $240.00 | $372.28 |
Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.00 | $257.00 | $257.00 | |
Ambetter
| Facility | $211.41 | $280.27 | $288.72 | |
AmeriHealth
| Facility | $315.00 | $315.00 | $333.90 | |
Cigna
| Facility | $91.00 | $240.00 | $372.28 |