| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $75.51 | $75.51 | $75.51 | |
Cigna
| Facility | $42.00 | $42.00 | $1,450.00 |
Clinic - Chronic Pain Center
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $75.51 | $75.51 | $75.51 | |
Cigna
| Facility | $42.00 | $42.00 | $1,450.00 |