| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $44.67 | $52.48 | $83.18 | |
Cigna
| Professional | $20.42 | $25.70 | $30.90 | |
DeanCare
| Facility | $9.12 | $9.12 | $16.60 | |
Medica
| Facility | $9.12 | $9.12 | $16.60 | |
Quartz
| Facility | $60.26 | $100.00 | $100.00 |