| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.58 | $127.84 | $391.35 | |
Anthem BCBS
| Professional | $121.16 | $314.61 | $671.06 | |
Cigna
| Professional | $157.04 | $304.44 | $499.64 | |
Medica
| Professional | $138.04 | $426.86 | $720.56 | |
Molina
| Professional | $70.00 | $163.16 | $298.35 | |
Quartz
| Professional | $225.00 | $324.17 | $473.29 | |
Quartz
| Professional | $135.66 | $591.75 | $1,715.04 | |
Security Health
| Professional | $285.58 | $471.30 | $680.74 | |
United
| Professional | $138.04 | $289.04 | $555.13 |