| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $181.97 | $186.21 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
HMSA
| Professional | $13.18 | $13.18 | $13.18 | |
United
| Professional | $169.82 | $181.97 | $275.42 |