| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.49 | $45.49 | $45.49 | |
Cigna
| Facility | $65.23 | $65.23 | $65.23 | |
Cigna
| Professional | $100.70 | $100.70 | $100.70 | |
HMSA
| Professional | $71.06 | $71.06 | $71.06 | |
United
| Professional | $59.54 | $65.23 | $94.22 |