| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $102.73 | $120.05 | $184.15 | |
Cigna
| Professional | $47.08 | $58.85 | $274.01 | |
DeanCare
| Facility | $26.73 | $26.73 | $36.86 | |
Medica
| Facility | $26.73 | $26.73 | $36.86 | |
Prevea360
| Facility | $26.73 | $26.73 | $36.86 | |
Quartz
| Facility | $60.00 | $60.35 | $143.88 |