| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
HMSA
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Professional | $77.62 | $128.82 | $131.83 | |
University Health Alliance
| Professional | $107.15 | $107.15 | $125.89 |