| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $250.50 | $258.02 | $703.42 | |
Cigna
| Professional | $250.50 | $250.50 | $495.10 | |
Quartz
| Professional | $395.59 | $595.98 | $851.40 | |
Quartz
| Facility | $1,369.96 | $1,369.96 | $1,369.96 |