| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $190.55 | $190.55 | $234.42 | |
Hally Health
| Professional | $151.36 | $151.36 | $302.00 | |
Medica
| Facility | $177.83 | $218.78 | $331.13 | |
Medica
| Professional | $165.96 | $213.80 | $912.01 |