| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $130.30 | $130.30 | $163.63 | |
Cigna
| Facility | $355.04 | $414.89 | $636.46 | |
Cigna
| Professional | $91.88 | $147.75 | $184.69 | |
Medica
| Professional | $182.20 | $182.20 | $597.26 | |
Molina
| Professional | $58.40 | $58.40 | $58.40 | |
Quartz
| Facility | $60.00 | $60.00 | $60.00 | |
Quartz
| Professional | $182.20 | $182.20 | $597.26 |