| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,782.00 | $1,782.00 | $1,782.00 | |
Anthem BCBS
| Facility | $346.80 | $2,288.00 | $3,060.00 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Quartz
| Facility | $100.00 | $100.00 | $100.00 |