- 1$22.00
$101.50 median$9.00 – $150.00 · 3 insurers · gross $231.00
- 2$23.78
$31.18 median$13.46 – $154.70 · 19 insurers · gross $182.00
- 3$44.27
$44.27 median$22.68 – $72.00 · 8 insurers · gross $90.00
- 4$46.29
$48.60 median$13.89 – $686.00 · 29 insurers · gross $400.91
- 5$50.00
$42.86 median$14.53 – $72.95 · 4 insurers · gross $100.00
- 6$50.83
$9,823.44 median$46.21 – $22,109.07 · 29 insurers · gross $325.00
- 7$50.92
$48.64 median$20.52 – $74.10 · 13 insurers · gross $78.00
- 8$52.89
$21.16 median$3.17 – $600.00 · 27 insurers · gross $52.89
- 9$53.55
$1,856.70 median$74.71 – $8,450.00 · 2 insurers · gross $960.00
- 10$92.00
$36.25 median$5.52 – $600.00 · 27 insurers · gross $92.00
- 11$93.00
$1,856.70 median$74.71 – $8,450.00 · 2 insurers · gross $155.00
- 12$95.20
$48.52 median$36.23 – $403.00 · 15 insurers · gross $806.00
- 13$97.00
$117.50 median$83.00 – $131.00 · 6 insurers · gross $138.00
- 14$99.40
$64.05 median$1.00 – $4,848.00 · 4 insurers · gross $284.00
- 15$100.68
$109.07 median$50.34 – $200.00 · 13 insurers · gross $167.80
- 16$115.19
$50.41 median$16.09 – $410.96 · 11 insurers · gross $503.00
- 17$130.00
$47.84 median$38.43 – $132.00 · 13 insurers · gross $165.00
- 18$137.00
$80.94 median$15.37 – $145.00 · 5 insurers · gross $145.00
- 19$140.00
$46.12 median$41.59 – $140.00 · 9 insurers · gross $140.00
- 20$179.80
$34.64 median$12.18 – $80.75 · 6 insurers · gross $179.80
- 21$181.60
$70.56 median$47.04 – $89.37 · 4 insurers · gross $567.50
- 22$181.60
$70.56 median$47.04 – $89.37 · 4 insurers · gross $567.50
- 23$181.60
$70.56 median$47.04 – $89.37 · 4 insurers · gross $567.50
- 24$181.60
$70.56 median$47.04 – $89.37 · 4 insurers · gross $567.50
- 25$181.60
no insurer rates published · gross $567.50
- 26$184.56
$70.56 median$47.04 – $89.37 · 4 insurers · gross $576.75
- 27$202.50
$51.04 median$47.04 – $188.16 · 8 insurers · gross $405.00
- 28$244.00
$49.86 median$29.48 – $94.08 · 7 insurers · gross $488.00
- 29$244.00
$49.86 median$47.04 – $94.08 · 7 insurers · gross $488.00
- 30$244.00
$49.86 median$47.04 – $94.08 · 7 insurers · gross $488.00
- 31$244.00
$50.33 median$47.04 – $94.08 · 7 insurers · gross $488.00
- 32$244.00
$50.33 median$47.04 – $94.08 · 7 insurers · gross $488.00
- 33$244.00
$50.33 median$47.04 – $94.08 · 7 insurers · gross $488.00
- 34$244.00
$51.04 median$47.04 – $188.16 · 8 insurers · gross $488.00
- 35$255.57
$30.65 median$30.65 – $30.65 · 1 insurers · gross $511.13
- 36$266.00
$213.00 median$195.00 – $225.00 · 2 insurers · gross $281.00
- 37$281.00
$225.00 median$195.00 – $225.00 · 2 insurers · gross $281.00
- 38$281.00
$225.00 median$195.00 – $225.00 · 2 insurers · gross $281.00
- 39$306.25
$100.00 median$24.73 – $656.25 · 15 insurers · gross $875.00
- 40$306.60
$186.50 median$24.73 – $876.00 · 25 insurers · gross $876.00
- 41$306.60
$186.50 median$24.73 – $876.00 · 25 insurers · gross $876.00
- 42$306.60
$196.00 median$24.73 – $876.00 · 24 insurers · gross $876.00
- 43$306.60
$196.00 median$24.73 – $876.00 · 24 insurers · gross $876.00
- 44$339.57
$168.43 median$20.37 – $967.33 · 14 insurers · gross $1,138.03
- 45$377.00
$131.95 median$22.62 – $600.00 · 27 insurers · gross $377.00
- 46$401.00
no insurer rates published · gross $401.00
- 47$468.45
$303.57 median$28.11 – $976.50 · 28 insurers · gross $1,085.00
- 48$510.94
$182.00 median$30.66 – $600.00 · 27 insurers · gross $520.00
- 49$512.00
$169.63 median$30.72 – $600.00 · 26 insurers · gross $512.00
- 50$722.98
$190.87 median$39.64 – $620.27 · 14 insurers · gross $729.73
- 51$998.54
$310.55 median$39.64 – $848.76 · 14 insurers · gross $998.54
- 52$1,198.35
$424.22 median$39.64 – $1,497.97 · 14 insurers · gross $1,762.32
- 53$1,232.85
$408.49 median$39.64 – $1,109.70 · 27 insurers · gross $1,233.00
- 54not published
$255.30 median$24.19 – $296.70 · 18 insurers · gross $345.00