| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Ambetter
| Facility | $346.74 | $346.74 | $346.74 | |
Cigna
| Facility | $75.86 | $114.82 | $120.23 | |
Hally Health
| Facility | $100.00 | $199.53 | $346.74 |
Clinic - Chronic Pain Center
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Ambetter
| Facility | $346.74 | $346.74 | $346.74 | |
Cigna
| Facility | $75.86 | $114.82 | $120.23 | |
Hally Health
| Facility | $100.00 | $199.53 | $346.74 |