| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $20.89 | $36.31 | |
Cigna
| Professional | $12.59 | $12.59 | $12.59 | |
HMSA
| Professional | $69.18 | $85.11 | $87.10 | |
United
| Professional | $12.30 | $19.95 | $56.23 | |
University Health Alliance
| Professional | $125.89 | $131.83 | $169.82 |