| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.90 | $5.13 | $6.17 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Pacific Source
| Facility | $4.27 | $4.90 | $5.37 | |
Pacific Source
| Professional | $5.01 | $5.01 | $5.01 | |
United
| Facility | $0.05 | $2.57 | $2.57 |