| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $302.00 | $354.81 | $562.34 | |
Cigna
| Professional | $125.89 | $158.49 | $223.87 | |
Medica
| Facility | $165.96 | $165.96 | $165.96 | |
Quartz
| Facility | $173.78 | $173.78 | $281.84 | |
United
| Facility | $57.54 | $69.18 | $91.20 |