| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.40 | $59.40 | $320.39 | |
Aetna
| Professional | $16.71 | $16.71 | $227.20 | |
Cigna
| Professional | $11.19 | $11.19 | $11.19 | |
HMSA
| Professional | $30.71 | $38.99 | $47.44 | |
United
| Professional | $10.87 | $10.87 | $50.16 |