| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $208.93 | $223.87 | |
Cigna
| Professional | $251.19 | $251.19 | $251.19 | |
HMSA
| Professional | $245.47 | $245.47 | $245.47 | |
United
| Professional | $194.98 | $269.15 | $338.84 | |
University Health Alliance
| Professional | $151.36 | $177.83 | $218.78 |