| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $518.14 | $605.49 | $928.84 | |
Cigna
| Professional | $135.44 | $247.73 | $648.87 | |
Medica
| Professional | $1,204.00 | $1,386.51 | $1,386.51 | |
Molina
| Professional | $50.00 | $58.40 | $70.00 | |
Quartz
| Facility | $677.34 | $677.34 | $677.34 | |
Quartz
| Professional | $346.14 | $1,204.00 | $1,386.51 |