| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Cigna
| Facility | $794.33 | $1,258.93 | $1,258.93 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $47.86 | $47.86 | $50.12 |