| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $66.07 | |
Cigna
| Facility | $309.03 | $309.03 | $380.19 | |
DeanCare
| Facility | $57.54 | $77.62 | $141.25 | |
Medica
| Facility | $56.23 | $77.62 | $109.65 | |
Quartz
| Professional | $63.10 | $125.89 | $190.55 |