| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,951.21 | $6,165.95 | $7,943.28 | |
Molina
| Professional | $60.26 | $70.79 | $79.43 | |
Pacific Source
| Facility | $2,344.23 | $3,090.30 | $3,235.94 | |
United
| Professional | $1,148.15 | $2,137.96 | $2,754.23 |