| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,211.99 | $9,534.75 | $13,514.05 | |
Cigna
| Professional | $4,086.91 | $6,366.67 | $7,234.85 | |
Quartz
| Professional | $3,819.78 | $3,819.78 | $7,207.14 | |
Quartz
| Facility | $20,066.20 | $20,066.20 | $20,066.20 |