| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $143.01 | $150.54 | $167.83 | |
Cigna
| Facility | $852.00 | $852.00 | $852.00 | |
Oscar Health
| Facility | $324.08 | $324.08 | $325.77 |
Clinic-Chronic Pain Center
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $143.01 | $150.54 | $167.83 | |
Cigna
| Facility | $852.00 | $852.00 | $852.00 | |
Oscar Health
| Facility | $324.08 | $324.08 | $325.77 |