| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $120.23 | |
Cigna
| Facility | $83.18 | $97.72 | $154.88 | |
DeanCare
| Facility | $30.20 | $37.15 | $66.07 | |
Medica
| Facility | $30.20 | $37.15 | $69.18 | |
Quartz
| Professional | $34.67 | $63.10 | $89.13 | |
Quartz
| Facility | $74.13 | $74.13 | $204.17 |