| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $870.96 | $1,258.93 | $14,125.38 | |
DeanCare
| Professional | $851.14 | $1,318.26 | $11,220.18 | |
Medica
| Professional | $4,786.30 | $8,511.38 | $20,417.38 | |
Molina
| Professional | $32.36 | $50.12 | $5,754.40 | |
Quartz
| Professional | $19,952.62 | $26,915.35 | $26,915.35 | |
United
| Professional | $537.03 | $3,467.37 | $16,595.87 |