| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.72 | $39.72 | $39.72 | |
Cigna
| Facility | $56.92 | $56.92 | $56.92 | |
Cigna
| Professional | $87.96 | $87.96 | $87.96 | |
HMSA
| Professional | $62.07 | $62.07 | $62.07 | |
United
| Professional | $52.02 | $58.00 | $82.30 |