| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $389.05 | $389.05 | $489.78 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $213.80 | $229.09 | $1,513.56 | |
Medica
| Professional | $223.87 | $1,445.44 | $5,754.40 |