| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $891.25 | $891.25 | $1,122.02 | |
Hally Health
| Professional | $151.36 | $151.36 | $1,513.56 | |
Medica
| Facility | $912.01 | $1,000.00 | $1,513.56 | |
Medica
| Professional | $794.33 | $1,000.00 | $5,248.07 |