| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $8.94 | $8.94 | $205.20 | |
Cigna
| Facility | $46.00 | $52.00 | $1,286.00 |
Rural/Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $8.94 | $8.94 | $205.20 | |
Cigna
| Facility | $46.00 | $52.00 | $1,286.00 |