| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.42 | $90.23 | $138.12 | |
Anthem BCBS
| Professional | $69.23 | $150.91 | $324.30 | |
Cigna
| Professional | $88.98 | $144.30 | $286.25 | |
DeanCare
| Professional | $134.24 | $134.24 | $134.24 | |
Medica
| Professional | $74.66 | $169.81 | $989.06 | |
Molina
| Professional | $58.40 | $100.29 | $192.57 | |
Prevea360
| Professional | $134.24 | $134.24 | $134.24 | |
Quartz
| Professional | $144.07 | $235.85 | $328.90 | |
Quartz
| Professional | $88.98 | $426.29 | $989.06 | |
Security Health
| Professional | $112.79 | $381.96 | $677.45 | |
United
| Professional | $69.65 | $152.12 | $278.49 |