| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,054.40 | $3,054.40 | $3,128.00 | |
Cigna
| Professional | $699.60 | $3,128.00 | $3,128.00 | |
HMSA
| Professional | $667.21 | $766.91 | $881.95 | |
United
| Professional | $495.55 | $2,880.00 | $4,800.00 |