| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $311.61 | $311.61 | $311.61 | |
BCBS
| Facility | $257.55 | $257.55 | $257.55 |
Rural/Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $311.61 | $311.61 | $311.61 | |
BCBS
| Facility | $257.55 | $257.55 | $257.55 |