| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.02 | $24.02 | $14,482.00 | |
Cigna
| Facility | $32.44 | $37.90 | $50.38 | |
DeanCare
| Facility | $12.31 | $15.38 | $33.29 | |
Medica
| Facility | $12.31 | $15.22 | $43.24 | |
Prevea360
| Facility | $12.31 | $16.38 | $33.29 | |
Quartz
| Professional | $24.34 | $30.93 | $47.59 | |
Quartz
| Facility | $23.70 | $23.70 | $80.00 |