| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $204.17 | $204.17 | $204.17 | |
HMSA
| Professional | $154.88 | $154.88 | $154.88 | |
United
| Professional | $158.49 | $218.78 | $275.42 | |
University Health Alliance
| Professional | $120.23 | $120.23 | $141.25 |