| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $415.00 | $415.00 | $415.00 | |
Cigna
| Professional | $432.81 | $432.81 | $432.81 | |
HMSA
| Professional | $490.00 | $490.00 | $513.09 | |
United
| Professional | $468.00 | $500.00 | $750.00 |