| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,390.25 | $1,390.25 | $1,390.25 | |
Cigna
| Professional | $1,380.10 | $1,380.10 | $1,380.10 | |
HMSA
| Professional | $1,100.00 | $1,100.00 | $1,151.83 | |
United
| Professional | $1,567.80 | $1,675.00 | $2,512.50 |