| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $323.59 | $323.59 | $398.11 | |
Hally Health
| Professional | $151.36 | $151.36 | $371.54 | |
Medica
| Facility | $190.55 | $263.03 | $338.84 | |
Medica
| Professional | $177.83 | $269.15 | $776.25 |