| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $446.68 | $467.74 | $1,258.93 | |
Cigna
| Professional | $446.68 | $446.68 | $1,174.90 | |
Quartz
| Facility | $537.03 | $2,818.38 | $2,818.38 | |
United
| Professional | $1,412.54 | $1,412.54 | $1,412.54 |