| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $461.62 | $461.62 | $461.62 | |
Cigna
| Professional | $506.88 | $506.88 | $506.88 | |
HMSA
| Professional | $452.54 | $452.54 | $452.54 | |
United
| Professional | $423.61 | $543.08 | $678.86 | |
University Health Alliance
| Professional | $272.73 | $272.73 | $320.86 |