| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $197.35 | $230.61 | $353.77 | |
Cigna
| Professional | $82.13 | $87.05 | $104.30 | |
DeanCare
| Facility | $86.57 | $86.57 | $137.62 | |
Medica
| Facility | $86.57 | $86.57 | $137.62 | |
Prevea360
| Facility | $86.57 | $86.57 | $137.62 |