| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $257.04 | $269.15 | $323.59 | |
Molina
| Professional | $70.79 | $70.79 | $70.79 | |
Pacific Source
| Facility | $346.74 | $407.38 | $478.63 | |
United
| Facility | $30.90 | $151.36 | $251.19 | |
United
| Professional | $194.98 | $239.88 | $446.68 |