| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.66 | $142.79 | $249.65 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
HMSA
| Professional | $324.75 | $324.75 | $324.75 | |
United
| Professional | $96.39 | $144.59 | $361.47 |