| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $72.09 | $84.24 | $129.22 | |
Cigna
| Professional | $30.00 | $44.55 | $50.63 | |
Medica
| Facility | $61.07 | $90.00 | $90.00 | |
Medica
| Professional | $119.42 | $119.42 | $119.42 | |
Molina
| Professional | $50.00 | $58.40 | $70.00 | |
Quartz
| Facility | $37.52 | $61.07 | $90.00 | |
Quartz
| Professional | $47.23 | $56.94 | $119.42 |