| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $436.52 | $436.52 | $436.52 | |
Anthem BCBS
| Professional | $0.21 | $0.21 | $0.21 | |
Medica
| Facility | $95.50 | $95.50 | $95.50 | |
Medica
| Professional | $0.98 | $0.98 | $0.98 | |
Molina
| Professional | $50.12 | $58.88 | $89.13 | |
Quartz
| Facility | $64.57 | $64.57 | $100.00 | |
United
| Professional | $0.98 | $0.98 | $0.98 |