| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.84 | $72.84 | $72.84 | |
Cigna
| Professional | $117.21 | $149.81 | $195.09 | |
HMSA
| Professional | $92.92 | $123.19 | $127.33 | |
United
| Professional | $168.84 | $181.23 | $381.68 | |
University Health Alliance
| Professional | $67.90 | $115.83 | $128.61 |