| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.41 | $94.41 | $94.41 | |
HMSA
| Professional | $130.13 | $162.66 | $186.39 | |
United
| Professional | $156.19 | $224.06 | $246.21 | |
University Health Alliance
| Professional | $102.08 | $225.41 | $250.77 |