| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $389.05 | $457.09 | $724.44 | |
Cigna
| Professional | $181.97 | $389.05 | $446.68 | |
Medica
| Facility | $158.49 | $199.53 | $575.44 | |
Medica
| Professional | $645.65 | $645.65 | $645.65 | |
Molina
| Professional | $58.88 | $58.88 | $58.88 | |
Quartz
| Facility | $213.80 | $537.03 | $537.03 | |
Quartz
| Professional | $575.44 | $645.65 | $645.65 | |
United
| Professional | $60.26 | $85.11 | $141.25 |