| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $736.18 | $736.18 | $736.18 | |
Cigna
| Professional | $876.07 | $876.07 | $876.07 | |
HMSA
| Professional | $1,450.00 | $1,450.00 | $1,518.32 | |
United
| Professional | $830.19 | $886.96 | $1,330.44 |