| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.28 | $78.28 | $78.28 | |
Anthem BCBS
| Facility | $64.00 | $87.00 | $206.00 |
Clinic - Chronic Pain Center
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.28 | $78.28 | $78.28 | |
Anthem BCBS
| Facility | $64.00 | $87.00 | $206.00 |