| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,069.21 | $3,586.62 | $5,501.97 | |
Cigna
| Professional | $1,143.38 | $1,177.68 | $1,429.22 | |
Medica
| Facility | $745.39 | $745.39 | $745.39 | |
Quartz
| Facility | $65.00 | $65.00 | $745.39 |