| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $758.58 | $812.83 | $1,174.90 | |
Cigna
| Facility | $1,348.96 | $1,348.96 | $1,348.96 | |
Cigna
| Professional | $109.65 | $891.25 | $1,202.26 | |
HMSA
| Professional | $147.91 | $147.91 | $194.98 | |
United
| Facility | $85.11 | $724.44 | $1,318.26 | |
United
| Professional | $724.44 | $1,348.96 | $2,344.23 |