| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $25.12 | $45.96 | $65.14 | |
Cigna
| Professional | $19.70 | $29.62 | $33.65 | |
Molina
| Professional | $65.00 | $65.00 | $65.00 | |
Quartz
| Facility | $94.40 | $94.40 | $94.40 | |
Security Health
| Professional | $26.51 | $26.51 | $26.51 |