| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $7.63 | $7.63 | $8.24 | |
Cigna
| Facility | $11.67 | $21.36 | $30.27 | |
Cigna
| Professional | $9.66 | $11.37 | $12.93 | |
Medica
| Facility | $15.18 | $36.18 | $56.43 | |
Molina
| Professional | $9.21 | $9.21 | $9.21 | |
Quartz
| Facility | $100.00 | $100.00 | $100.00 |