| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $912.01 | $912.01 | $1,096.48 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Pacific Source
| Facility | $851.14 | $851.14 | $851.14 | |
United
| Professional | $549.54 | $758.58 | $1,230.27 |