| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.00 | $101.00 | $101.00 | |
Anthem BCBS
| Professional | $1.90 | $2.27 | $3.37 | |
Medica
| Facility | $95.00 | $95.00 | $95.00 | |
Medica
| Professional | $0.97 | $0.97 | $0.97 | |
Molina
| Professional | $50.00 | $65.00 | $90.00 | |
Quartz
| Facility | $65.00 | $65.00 | $95.00 | |
United
| Professional | $0.97 | $0.97 | $0.97 |