| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.39 | $176.18 | $1,894.00 | |
Anthem BCBS
| Facility | $1,139.00 | $1,183.00 | $1,530.00 | |
Cigna
| Facility | $296.47 | $346.45 | $531.46 | |
DeanCare
| Facility | $85.15 | $134.80 | $311.07 | |
Medica
| Facility | $93.96 | $229.58 | $1,590.00 | |
Medica
| Facility | AS | $40.57 | $40.57 | $40.57 |
Prevea360
| Facility | $85.15 | $134.80 | $311.07 | |
Quartz
| Professional | $192.96 | $274.49 | $378.63 | |
Quartz
| Facility | $165.21 | $220.81 | $405.71 | |
Quartz
| Facility | AS | $16.52 | $22.08 | $40.57 |
United
| Facility | $1,008.00 | $1,423.00 | $2,202.90 |