| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,737.80 | $1,737.80 | $2,187.76 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $1,000.00 | $1,513.56 | $1,862.09 | |
Medica
| Professional | $1,047.13 | $1,778.28 | $3,801.89 |