| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $239.88 | $239.88 | $239.88 | |
Horizon BCBS
| Facility | $42.66 | $43.65 | $47.86 |
Clinic-Other Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $239.88 | $239.88 | $239.88 | |
Horizon BCBS
| Facility | $42.66 | $43.65 | $47.86 |