| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $23.99 | $33.88 | |
Anthem BCBS
| Professional | $21.88 | $26.30 | $87.10 | |
Cigna
| Professional | $27.54 | $47.86 | $95.50 | |
DeanCare
| Professional | $58.88 | $66.07 | $93.33 | |
Medica
| Professional | $27.54 | $32.36 | $199.53 | |
Molina
| Professional | $32.36 | $33.11 | $70.79 | |
Quartz
| Professional | $35.48 | $72.44 | $104.71 | |
Quartz
| Professional | $32.36 | $162.18 | $199.53 | |
Security Health
| Professional | $38.90 | $74.13 | $89.13 | |
United
| Professional | $26.92 | $32.36 | $53.70 |