| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.62 | $192.62 | $192.62 | |
Cigna
| Facility | $271.72 | $271.72 | $271.72 | |
Cigna
| Professional | $420.61 | $420.61 | $420.61 | |
HMSA
| Professional | $355.17 | $371.91 | $371.91 | |
United
| Professional | $245.79 | $271.72 | $393.54 |