| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,202.26 | $1,230.27 | $1,258.93 | |
Cigna
| Professional | $275.42 | $1,258.93 | $1,258.93 | |
HMSA
| Professional | $302.00 | $346.74 | $380.19 | |
United
| Professional | $288.40 | $1,258.93 | $1,258.93 |