| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $122.00 | $122.00 | $122.00 | |
Cigna
| Facility | $92.00 | $92.00 | $92.00 |
Clinic - Chronic Pain Center
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $122.00 | $122.00 | $122.00 | |
Cigna
| Facility | $92.00 | $92.00 | $92.00 |