| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $158.49 | $162.18 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
HMSA
| Professional | $169.82 | $169.82 | $169.82 | |
United
| Professional | $154.88 | $158.49 | $239.88 |