| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $123.03 | $123.03 | $123.03 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 |
Clinic - Chronic Pain Center
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $123.03 | $123.03 | $123.03 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 |