| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $104.71 | $107.15 | |
Cigna
| Professional | $107.15 | $107.15 | $107.15 | |
HMSA
| Professional | $34.67 | $34.67 | $36.31 | |
United
| Professional | $102.33 | $107.15 | $158.49 |