| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $26.70 | $26.70 | $83.16 | |
Cigna
| Facility | $60.00 | $60.00 | $60.00 | |
Qualchoice
| Facility | $30.91 | $30.91 | $74.19 |
Rural/Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $26.70 | $26.70 | $83.16 | |
Cigna
| Facility | $60.00 | $60.00 | $60.00 | |
Qualchoice
| Facility | $30.91 | $30.91 | $74.19 |