| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $381.29 | $381.29 | $3,948.00 | |
BCBS
| Facility | $221.30 | $455.14 | $539.59 | |
Cigna
| Facility | $633.00 | $1,055.00 | $1,722.00 | |
Medica
| Facility | $810.00 | $810.00 | $1,960.84 |
MRA - Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $381.29 | $381.29 | $3,948.00 | |
BCBS
| Facility | $221.30 | $455.14 | $539.59 | |
Cigna
| Facility | $633.00 | $1,055.00 | $1,722.00 | |
Medica
| Facility | $810.00 | $810.00 | $1,960.84 |