| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $257.04 | $302.00 | $478.63 | |
Cigna
| Professional | $158.49 | $281.84 | $389.05 | |
Medica
| Professional | $478.63 | $478.63 | $478.63 | |
Molina
| Professional | $50.12 | $58.88 | $70.79 | |
Quartz
| Facility | $194.98 | $234.42 | $234.42 | |
Quartz
| Professional | $194.98 | $478.63 | $478.63 | |
United
| Professional | $89.13 | $91.20 | $169.82 |