| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $851.14 | $870.96 | $1,071.52 | |
Hally Health
| Professional | $151.36 | $151.36 | $151.36 | |
Medica
| Facility | $89.13 | $89.13 | $89.13 | |
Medica
| Professional | $1,318.26 | $1,318.26 | $2,818.38 |