| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,527.13 | $2,527.13 | $3,158.91 | |
Medcost
| Facility | $1,693.00 | $1,693.00 | $1,997.51 | |
Medcost
| Professional | $1,328.00 | $1,328.00 | $1,427.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |