| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $524.81 | $524.81 | $524.81 | |
Molina
| Facility | $1,174.90 | $2,398.83 | $5,011.87 | |
Quartz
| Facility | $95.50 | $13,803.84 | $13,803.84 | |
Security Health
| Facility | $831.76 | $831.76 | $933.25 |