| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $831.73 | $971.95 | $1,567.72 | |
Cigna
| Professional | $346.13 | $366.89 | $439.58 | |
Medica
| Facility | $598.37 | $598.37 | $598.37 | |
Molina
| Professional | $58.40 | $58.40 | $58.40 | |
Quartz
| Facility | $598.37 | $598.37 | $598.37 |