| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $35.48 | $35.48 | $43.65 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 | |
Medica
| Professional | $12.02 | $12.02 | $12.02 |