| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.00 | $202.50 | $242.50 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $6.35 | $6.35 | $6.35 | |
Medica
| Professional | $6.84 | $6.84 | $6.84 | |
Molina
| Professional | $50.00 | $65.00 | $85.00 | |
Quartz
| Professional | $6.35 | $6.84 | $6.84 |