| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $60.18 | $60.18 | $68.39 | |
Medica
| Professional | $784.39 | $784.39 | $784.39 | |
Molina
| Professional | $50.00 | $65.00 | $70.00 | |
Quartz
| Facility | $328.16 | $328.16 | $328.16 | |
Quartz
| Professional | $343.40 | $458.96 | $784.39 |