| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,698.24 | $1,778.28 | $2,137.96 | |
Medcost
| Professional | $1,412.54 | $1,862.09 | $2,511.89 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $1,621.81 | $1,995.26 | $2,089.30 |