| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $37.15 | $43.65 | $69.18 | |
Cigna
| Professional | $16.98 | $21.38 | $25.12 | |
DeanCare
| Facility | $9.55 | $9.55 | $13.49 | |
Medica
| Facility | $9.55 | $9.55 | $13.49 | |
Quartz
| Facility | $60.26 | $60.26 | $100.00 |