| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $575.44 | $724.44 | $891.25 | |
Hally Health
| Professional | $151.36 | $151.36 | $724.44 | |
Medica
| Facility | $338.84 | $467.74 | $741.31 | |
Medica
| Professional | $263.03 | $588.84 | $1,445.44 |