| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $20.73 | $24.22 | $37.15 | |
Cigna
| Professional | $9.50 | $20.25 | $23.01 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Quartz
| Professional | $15.06 | $15.06 | $16.59 | |
Quartz
| Facility | $70.00 | $70.00 | $90.00 |