| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $37.15 | $43.65 | $69.18 | |
Cigna
| Professional | $20.89 | $23.99 | $34.67 | |
Medica
| Professional | $77.62 | $77.62 | $89.13 | |
Molina
| Professional | $58.88 | $58.88 | $58.88 | |
Quartz
| Facility | $70.79 | $70.79 | $100.00 | |
Quartz
| Professional | $70.79 | $89.13 | $89.13 | |
United
| Professional | $14.79 | $23.99 | $38.02 |