| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $44.67 | $229.09 | |
Cigna
| Facility | $40.74 | $40.74 | $44.67 | |
Cigna
| Professional | $44.67 | $57.54 | $57.54 | |
HMSA
| Professional | $64.57 | $64.57 | $67.61 | |
United
| Facility | $24.55 | $37.15 | $50.12 | |
United
| Professional | $22.91 | $40.74 | $70.79 |