| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.48 | $143.31 | $319.02 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
HMSA
| Professional | $120.36 | $120.36 | $120.36 | |
United
| Professional | $77.53 | $124.25 | $130.53 | |
University Health Alliance
| Professional | $108.23 | $108.23 | $127.33 |