| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $263.03 | $1,905.46 | |
Cigna
| Facility | $812.83 | $954.99 | $1,513.56 | |
DeanCare
| Facility | $41.69 | $316.23 | $3,981.07 | |
Medica
| Facility | $41.69 | $338.84 | $1,737.80 | |
Quartz
| Professional | $70.79 | $323.59 | $954.99 | |
Quartz
| Facility | $107.15 | $107.15 | $891.25 | |
United
| Facility | $1,023.29 | $1,584.89 | $1,949.84 |