| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $550.50 | $567.02 | $1,545.85 | |
Cigna
| Professional | $550.50 | $550.50 | $1,015.04 | |
Quartz
| Professional | $869.89 | $1,310.54 | $1,872.20 | |
Quartz
| Facility | $3,012.52 | $3,012.52 | $3,012.52 |