| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,024.57 | $1,197.30 | $1,836.68 | |
Cigna
| Professional | $426.38 | $451.96 | $541.50 | |
DeanCare
| Facility | $454.07 | $454.07 | $710.68 | |
Medica
| Facility | $454.07 | $454.07 | $710.68 | |
Prevea360
| Facility | $454.07 | $454.07 | $710.68 |