| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,047.13 | $1,047.13 | $1,288.25 | |
Hally Health
| Professional | $151.36 | $151.36 | $1,000.00 | |
Medica
| Facility | $457.09 | $776.25 | $933.25 | |
Medica
| Professional | $467.74 | $776.25 | $3,162.28 |