| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $116.11 | $116.11 | $116.11 | |
Anthem BCBS
| Facility | $529.63 | $859.87 | $1,604.71 |
Specialty Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $116.11 | $116.11 | $116.11 | |
Anthem BCBS
| Facility | $529.63 | $859.87 | $1,604.71 |