| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $912.01 | $912.01 | $1,148.15 | |
Hally Health
| Professional | $151.36 | $151.36 | $831.76 | |
Medica
| Facility | $380.19 | $549.54 | $1,000.00 | |
Medica
| Professional | $346.74 | $501.19 | $1,659.59 |