| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,090.30 | $3,548.13 | $5,754.40 | |
Cigna
| Professional | $1,148.15 | $1,445.44 | $1,621.81 | |
Medica
| Facility | $741.31 | $741.31 | $741.31 | |
Quartz
| Facility | $64.57 | $64.57 | $741.31 |