| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $203.81 | $203.81 | $203.81 | |
HMSA
| Professional | $153.57 | $153.57 | $153.57 | |
United
| Professional | $159.01 | $218.36 | $272.95 | |
University Health Alliance
| Professional | $120.06 | $120.06 | $141.25 |