| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,354.53 | $4,307.35 | $6,105.02 | |
Cigna
| Professional | $1,792.50 | $1,846.28 | $2,240.63 | |
Molina
| Professional | $65.00 | $65.00 | $65.00 | |
Quartz
| Facility | $8,715.95 | $8,715.95 | $8,715.95 |