| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.09 | $415.46 | $6,461.00 | |
Anthem BCBS
| Facility | $5,479.00 | $5,692.00 | $7,344.00 | |
Cigna
| Facility | $542.47 | $633.91 | $972.46 | |
DeanCare
| Facility | $127.44 | $240.05 | $553.95 | |
Medica
| Facility | $139.12 | $346.50 | $1,590.00 | |
Prevea360
| Facility | $127.44 | $240.05 | $553.95 | |
Quartz
| Professional | $293.49 | $441.81 | $665.31 | |
Quartz
| Facility | $244.61 | $326.92 | $594.91 | |
United
| Facility | $1,034.00 | $1,423.00 | $2,202.90 |