| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $14.45 | $22.91 | |
Cigna
| Facility | $16.22 | $16.22 | $16.22 | |
Cigna
| Professional | $23.44 | $23.44 | $23.44 | |
HMSA
| Professional | $64.57 | $64.57 | $67.61 | |
United
| Facility | $9.77 | $14.79 | $19.95 | |
United
| Professional | $13.49 | $19.50 | $28.84 |