| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,454.71 | $2,818.38 | $3,548.13 | |
Hally Health
| Professional | $151.36 | $151.36 | $3,715.35 | |
Medica
| Facility | $2,290.87 | $2,630.27 | $7,762.47 | |
Medica
| Professional | $1,584.89 | $2,511.89 | $8,912.51 |