| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $269.15 | $323.59 | |
Molina
| Professional | $199.53 | $199.53 | $199.53 | |
United
| Facility | $36.31 | $154.88 | $251.19 | |
United
| Professional | $165.96 | $204.17 | $331.13 |