| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,398.83 | $2,884.03 | $3,467.37 | |
Medcost
| Professional | $954.99 | $954.99 | $1,148.15 | |
Medcost
| Facility | $794.33 | $954.99 | $1,479.11 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |