| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.52 | $134.52 | $137.77 | |
Cigna
| Professional | $162.08 | $162.08 | $162.08 | |
HMSA
| Professional | $222.25 | $246.94 | $278.27 | |
United
| Professional | $151.71 | $162.08 | $243.12 |