| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $450.00 | $463.50 | $1,263.64 | |
Cigna
| Professional | $450.00 | $450.00 | $1,146.90 | |
Quartz
| Professional | $710.94 | $1,072.88 | $1,530.10 | |
Quartz
| Facility | $2,462.08 | $2,462.08 | $2,462.08 |