| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $537.03 | $537.03 | $676.08 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $229.09 | $338.84 | $501.19 | |
Medica
| Professional | $275.42 | $489.78 | $1,071.52 |