| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $0.45 | $0.45 | $0.47 | |
Cigna
| Facility | $1.07 | $2.00 | $2.95 | |
Cigna
| Professional | $0.76 | $1.00 | $1.35 | |
Medica
| Facility | $2.88 | $7.41 | $77.62 | |
Quartz
| Facility | $85.11 | $100.00 | $100.00 | |
United
| Facility | $0.72 | $0.72 | $0.72 | |
United
| Professional | $0.76 | $0.76 | $0.76 |