AETNA Commercial Level      $ 250.00
AETNA Commercial Level      $ 290.00
AETNA Commercial Level      $ 350.00
Affinity Health Medicaid      $ 225.00
Affinity Health Medicaid      $ 325.00
Affinity Health Medicaid      $ 350.00
Affinity Health Medicaid      $ 650.00
Affinity Health Medicaid      $ 200.00
Blue Cross Comm Level      $ 275.00
Blue Cross Comm Level      $ 325.00
Blue Cross Comm Level      $ 550.00
Blue Cross Comm Level      $ 550.00
Blue Cross Medicare Level      $ 275.00
Blue Cross Medicare Level      $ 450.00
Blue Cross Medicare Level      $ 550.00
Blue Cross Medicare Level      $ 550.00
Emblem Medicare Level      $ 275.00
Emblem Medicare Level      $ 350.00
Emblem Medicare Level      $ 400.00
Emblem Medicare Level      $ 450.00
Fidelis Commercial Level      $ 200.00
Fidelis Commercial Level      $ 325.00
Fidelis Commercial Level      $ 400.00
Fidelis Medicaid Level      $ 200.00
Fidelis Medicaid Level      $ 325.00
Fidelis Medicaid Level      $ 400.00
Fidelis Medicaid Level      $ 222.65
Humana Medicare Level      $ 415.00
Humana Medicare Level      $ 700.00
Humana Medicare Level      $ 590.00
MVP Commercial Level      $ 250.00
MVP Commercial Level      $ 350.00
MVP Commercial Level      $ 500.00
MVP Medicaid Level      $ 300.00
MVP Medicaid Level      $ 350.00
MVP Medicaid Level      $ 425.00
MVP Medicaid Level      $ 525.00
MVP Medicaid Level      $ 219.31
Private Pay      $ 390.00
Private Pay      $ 375.00
Wellcare Medicaid Level      $ 205.00
Wellcare Medicaid Level      $ 265.00
Wellcare Medicaid Level      $ 355.00
Wellcare Medicaid Level      $ 435.00
Wellcare Medicare Level      $ 265.00
Wellcare Medicare Level      $ 355.00
Wellcare Medicare Level      $ 435.00