| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,618.50 | $1,618.50 | $1,618.50 | |
Anthem BCBS
| Facility | $293.00 | $330.00 | $391.00 |
Specialty Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,618.50 | $1,618.50 | $1,618.50 | |
Anthem BCBS
| Facility | $293.00 | $330.00 | $391.00 |