| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $246.39 | $295.20 | $644.22 | |
Pacific Source
| Facility | $107.16 | $201.00 | $273.36 |
Surgery-General
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $246.39 | $295.20 | $644.22 | |
Pacific Source
| Facility | $107.16 | $201.00 | $273.36 |