| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $65.51 | $119.85 | $169.87 | |
Cigna
| Professional | $51.37 | $77.45 | $88.01 | |
Molina
| Professional | $65.00 | $65.00 | $65.00 | |
Quartz
| Facility | $244.30 | $244.30 | $244.30 | |
Security Health
| Professional | $68.59 | $68.59 | $68.59 |