| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,511.89 | $3,019.95 | $3,090.30 | |
Cigna
| Professional | $3,090.30 | $3,090.30 | $3,090.30 | |
HMSA
| Professional | $2,398.83 | $2,398.83 | $2,818.38 | |
United
| Professional | $2,818.38 | $3,019.95 | $4,570.88 |