| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $302.00 | $549.54 | $812.83 | |
Cigna
| Professional | $229.09 | $302.00 | $407.38 | |
Quartz
| Professional | $223.87 | $223.87 | $407.38 | |
Quartz
| Facility | $891.25 | $1,148.15 | $1,148.15 | |
United
| Professional | $223.87 | $223.87 | $223.87 |