| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $61.66 | $61.66 | $77.62 | |
Hally Health
| Professional | $87.10 | $151.36 | $151.36 | |
Medica
| Facility | $35.48 | $36.31 | $100.00 | |
Medica
| Professional | $33.11 | $43.65 | $60.26 |