| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.84 | $346.74 | $660.69 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $489.78 | $489.78 | $489.78 | |
Medica
| Professional | $407.38 | $407.38 | $758.58 |