| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $567.00 | $567.00 | $651.00 | |
Anthem BCBS
| Facility | $277.00 | $620.00 | $871.00 | |
Medica
| Facility | $2,560.00 | $4,000.00 | $4,000.00 | |
Quartz
| Facility | $382.00 | $923.69 | $4,000.00 | |
Security Health
| Facility | $575.00 | $575.00 | $575.00 |