| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $750.00 | $772.50 | $2,106.06 | |
Cigna
| Professional | $750.00 | $750.00 | $1,911.50 | |
Quartz
| Professional | $996.71 | $1,829.23 | $2,550.90 | |
Quartz
| Facility | $4,104.64 | $4,104.64 | $4,104.64 |