| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $574.00 | $1,234.00 | $1,859.00 | |
Cigna
| Facility | $503.00 | $503.00 | $503.00 | |
Quartz
| Facility | $503.00 | $503.00 | $503.00 |
Ccpd / Composite Or Other Ra
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $574.00 | $1,234.00 | $1,859.00 | |
Cigna
| Facility | $503.00 | $503.00 | $503.00 | |
Quartz
| Facility | $503.00 | $503.00 | $503.00 |