| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,466.84 | $8,317.64 | $17,782.79 | |
Cigna
| Facility | $16,218.10 | $16,218.10 | $16,218.10 | |
Medica
| Facility | $1,288.25 | $8,912.51 | $13,489.63 | |
Quartz
| Facility | $21,379.62 | $25,703.96 | $25,703.96 |