| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $870.96 | |
Cigna
| Facility | $776.25 | $1,023.29 | $1,621.81 | |
DeanCare
| Facility | $263.03 | $346.74 | $691.83 | |
Medica
| Facility | $263.03 | $371.54 | $707.95 | |
Quartz
| Professional | $407.38 | $707.95 | $1,000.00 | |
Quartz
| Facility | $630.96 | $630.96 | $2,089.30 |