| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.00 | $149.00 | $149.00 | |
Ambetter
| Facility | $342.99 | $342.99 | $342.99 | |
BCBS
| Facility | $38.46 | $221.10 | $1,195.15 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |
Clinic-Other Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.00 | $149.00 | $149.00 | |
Ambetter
| Facility | $342.99 | $342.99 | $342.99 | |
BCBS
| Facility | $38.46 | $221.10 | $1,195.15 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |