| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $13,123.00 | $17,925.00 | $25,614.00 | |
Cigna
| Facility | $13,511.39 | $15,789.13 | $25,467.31 | |
Cigna
| Professional | $343.04 | $771.45 | $13,150.97 | |
Molina
| Professional | $50.00 | $58.40 | $70.00 | |
Quartz
| Facility | $55,193.40 | $55,193.40 | $55,193.40 |