| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $95.50 | $112.20 | $177.83 | |
Cigna
| Professional | $39.81 | $50.12 | $102.33 | |
Quartz
| Professional | $79.43 | $79.43 | $104.71 | |
Quartz
| Facility | $83.18 | $245.47 | $245.47 | |
United
| Professional | $85.11 | $85.11 | $85.11 |