| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,394.00 | $2,465.82 | $6,537.22 | |
Cigna
| Professional | $2,394.00 | $2,394.00 | $4,414.16 | |
Quartz
| Professional | $3,180.95 | $5,644.74 | $8,404.58 | |
Quartz
| Facility | $9,450.00 | $9,450.00 | $9,450.00 |