| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.66 | $31.66 | $31.66 | |
Cigna
| Professional | $33.42 | $33.42 | $33.42 | |
HMSA
| Professional | $26.43 | $26.43 | $26.43 | |
United
| Professional | $28.77 | $28.77 | $46.11 | |
University Health Alliance
| Professional | $29.46 | $29.46 | $34.65 |