| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,122.02 | $1,348.96 | $1,380.38 | |
Cigna
| Professional | $1,445.44 | $1,445.44 | $1,445.44 | |
HMSA
| Professional | $1,584.89 | $1,584.89 | $1,584.89 | |
United
| Professional | $1,288.25 | $1,380.38 | $2,089.30 |