| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $338.84 | $575.44 | |
Molina
| Professional | $70.79 | $70.79 | $70.79 | |
Pacific Source
| Facility | $234.42 | $323.59 | $446.68 | |
United
| Professional | $162.18 | $177.83 | $380.19 |