| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,621.00 | $3,748.00 | $4,345.00 | |
Ambetter
| Facility | $92.05 | $196.88 | $4,176.56 | |
Medica
| Facility | $2,500.00 | $2,500.00 | $2,500.00 |
Specialty Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,621.00 | $3,748.00 | $4,345.00 | |
Ambetter
| Facility | $92.05 | $196.88 | $4,176.56 | |
Medica
| Facility | $2,500.00 | $2,500.00 | $2,500.00 |