| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,023.29 | $1,288.25 | $2,290.87 | |
Medcost
| Professional | $676.08 | $676.08 | $724.44 | |
Medcost
| Facility | $331.13 | $575.44 | $891.25 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |