| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.09 | $128.09 | $128.09 | |
Cigna
| Facility | $571.02 | $571.02 | $692.99 | |
DeanCare
| Facility | $114.16 | $153.71 | $208.70 | |
Medica
| Facility | $108.88 | $153.71 | $208.70 | |
Prevea360
| Facility | $114.16 | $156.53 | $285.52 | |
Quartz
| Professional | $122.79 | $313.50 | $452.19 |