| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $457.09 | $758.58 | $933.25 | |
Cigna
| Professional | $912.01 | $912.01 | $912.01 | |
HMSA
| Professional | $1,445.44 | $1,445.44 | $1,513.56 | |
United
| Professional | $831.76 | $891.25 | $1,318.26 |