| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $6.35 | $11.62 | $16.48 | |
Cigna
| Professional | $4.98 | $7.16 | $8.14 | |
Medica
| Facility | $5.49 | $40.50 | $89.35 | |
Quartz
| Professional | $2.70 | $2.70 | $5.09 | |
Quartz
| Facility | $100.00 | $100.00 | $100.00 |