| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $263.03 | $1,047.13 | $1,174.90 | |
DeanCare
| Professional | $416.87 | $489.78 | $630.96 | |
Medica
| Professional | $229.09 | $457.09 | $1,548.82 | |
Molina
| Professional | $32.36 | $33.11 | $70.79 | |
Quartz
| Professional | $1,258.93 | $1,548.82 | $1,548.82 | |
United
| Professional | $234.42 | $389.05 | $1,096.48 |