| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $350.50 | $361.02 | $984.27 | |
Cigna
| Professional | $350.50 | $350.51 | $646.28 | |
Quartz
| Professional | $554.03 | $834.68 | $1,192.40 | |
Quartz
| Facility | $1,918.67 | $1,918.67 | $1,918.67 |