| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,279.20 | $1,279.20 | $1,279.20 | |
Aetna
| Professional | $142.53 | $142.53 | $148.29 | |
Cigna
| Facility | $136.27 | $136.27 | $136.27 | |
Cigna
| Professional | $195.78 | $195.78 | $195.78 | |
HMSA
| Professional | $184.44 | $193.13 | $193.13 | |
United
| Professional | $129.02 | $136.27 | $197.33 |