| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.68 | $305.75 | $354.73 | |
Aetna
| Professional | $23.30 | $25.20 | $95.81 | |
Cigna
| Professional | $23.56 | $23.56 | $23.56 | |
HMSA
| Professional | $57.16 | $75.39 | $88.23 | |
United
| Professional | $16.92 | $17.57 | $81.14 | |
University Health Alliance
| Professional | $42.61 | $62.66 | $87.73 |