| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $144.54 | $165.96 | $269.15 | |
Cigna
| Professional | $66.07 | $81.28 | $97.72 | |
DeanCare
| Facility | $37.15 | $37.15 | $52.48 | |
Medica
| Facility | $37.15 | $37.15 | $52.48 | |
Quartz
| Facility | $85.11 | $85.11 | $199.53 |