| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.00 | $149.00 | $149.00 | |
Ambetter
| Facility | $58.30 | $126.21 | $282.70 | |
BCBS
| Facility | $30.24 | $372.02 | $1,613.62 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |
Clinic-General classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.00 | $149.00 | $149.00 | |
Ambetter
| Facility | $58.30 | $126.21 | $282.70 | |
BCBS
| Facility | $30.24 | $372.02 | $1,613.62 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |