| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $239.88 | $323.59 | |
Cigna
| Professional | $263.03 | $263.03 | $263.03 | |
HMSA
| Professional | $269.15 | $269.15 | $269.15 | |
United
| Professional | $223.87 | $302.00 | $354.81 | |
University Health Alliance
| Professional | $177.83 | $213.80 | $251.19 |