| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.35 | $11.35 | $11.35 | |
Cigna
| Facility | $16.20 | $16.20 | $16.20 | |
Cigna
| Professional | $25.14 | $25.14 | $25.14 | |
HMSA
| Professional | $17.73 | $17.73 | $17.73 | |
United
| Professional | $14.86 | $16.20 | $23.52 |