| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $6.78 | $6.78 | $7.33 | |
Cigna
| Facility | $2.91 | $5.32 | $7.54 | |
Cigna
| Professional | $2.04 | $3.61 | $4.09 | |
Medica
| Facility | $8.15 | $20.87 | $40.35 | |
Molina
| Professional | $1.95 | $1.95 | $1.95 | |
Quartz
| Facility | $100.00 | $100.00 | $100.00 |