| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $501.19 | $501.19 | $630.96 | |
Hally Health
| Professional | $151.36 | $151.36 | $446.68 | |
Medica
| Facility | $194.98 | $257.04 | $467.74 | |
Medica
| Professional | $131.83 | $257.04 | $851.14 |