| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.84 | $184.59 | $1,894.00 | |
Anthem BCBS
| Facility | $1,139.00 | $2,479.00 | $4,441.52 | |
Cigna
| Facility | $364.95 | $426.48 | $654.23 | |
DeanCare
| Facility | $86.15 | $134.03 | $280.19 | |
Medica
| Facility | $86.81 | $178.32 | $3,034.00 | |
Prevea360
| Facility | $86.15 | $134.03 | $280.19 | |
Quartz
| Professional | $203.64 | $310.77 | $459.80 | |
Quartz
| Facility | $404.21 | $404.21 | $982.04 | |
United
| Facility | $1,957.00 | $3,068.00 | $4,295.00 |