| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $20.89 | $23.99 | $38.90 | |
Cigna
| Professional | $9.55 | $12.30 | $23.44 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 | |
Quartz
| Professional | $15.14 | $15.14 | $19.95 | |
Quartz
| Facility | $70.79 | $70.79 | $89.13 | |
United
| Facility | $3.80 | $6.03 | $6.03 | |
United
| Professional | $6.03 | $6.03 | $6.03 |