| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.56 | $751.56 | $2,838.93 | |
Aetna
| Professional | $751.56 | $751.56 | $751.56 | |
Anthem BCBS
| Professional | $6.80 | $8.01 | $8.01 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
DeanCare
| Facility | $751.56 | $751.56 | $1,127.33 | |
Medica
| Facility | $751.56 | $751.56 | $1,352.81 | |
Molina
| Professional | $50.00 | $65.00 | $85.00 | |
Prevea360
| Facility | $751.56 | $751.56 | $1,127.33 | |
Quartz
| Professional | $477.77 | $477.77 | $477.77 |