| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $177.83 | $707.95 | $794.33 | |
DeanCare
| Professional | $281.84 | $331.13 | $426.58 | |
Medica
| Professional | $144.54 | $331.13 | $933.25 | |
Molina
| Professional | $32.36 | $33.11 | $70.79 | |
Quartz
| Professional | $891.25 | $933.25 | $933.25 | |
United
| Professional | $144.54 | $281.84 | $794.33 |