| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39.81 | $46.77 | $74.13 | |
Cigna
| Professional | $18.20 | $22.91 | $27.54 | |
DeanCare
| Facility | $10.23 | $10.23 | $14.45 | |
Medica
| Facility | $10.23 | $10.23 | $14.45 | |
Quartz
| Facility | $60.26 | $60.26 | $213.80 |