| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $1,910.62 | $1,910.62 | $1,910.62 | |
Molina
| Professional | $58.40 | $58.40 | $58.40 | |
Quartz
| Facility | $10,168.04 | $10,168.04 | $10,168.04 | |
Quartz
| Professional | $1,118.83 | $1,118.83 | $1,910.62 |