| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $311.25 | $363.72 | $586.66 | |
Cigna
| Professional | $168.79 | $243.24 | $276.41 | |
Medica
| Facility | $134.13 | $134.57 | $382.03 | |
Medica
| Professional | $710.30 | $710.30 | $710.30 | |
Molina
| Professional | $58.40 | $58.40 | $58.40 | |
Quartz
| Facility | $285.26 | $677.49 | $677.49 | |
Quartz
| Professional | $570.52 | $710.30 | $710.30 |