| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9,260.62 | $9,260.62 | $11,575.78 | |
Medcost
| Facility | $6,958.00 | $6,958.00 | $7,445.06 | |
Medcost
| Professional | $5,433.00 | $5,433.00 | $5,433.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |