| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $46.77 | $54.95 | $87.10 | |
Cigna
| Professional | $21.38 | $26.92 | $32.36 | |
DeanCare
| Facility | $12.02 | $12.02 | $16.98 | |
Medica
| Facility | $12.02 | $12.02 | $16.98 | |
Quartz
| Facility | $60.26 | $60.26 | $89.13 |