| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $190.55 | $218.78 | $316.23 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 |
Clinic-General classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $190.55 | $218.78 | $316.23 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 |