| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $134.90 | $138.04 | |
Cigna
| Professional | $138.04 | $138.04 | $138.04 | |
HMSA
| Professional | $35.48 | $35.48 | $35.48 | |
United
| Professional | $309.03 | $331.13 | $501.19 |