| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $898.14 | $898.14 | $898.14 | |
Molina
| Professional | $85.00 | $251.96 | $1,500.00 | |
Providence
| Facility | $898.14 | $898.14 | $898.14 | |
United
| Facility | $793.13 | $793.13 | $1,757.50 |