| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.50 | $211.34 | $442.46 | |
Cigna
| Professional | $232.20 | $232.20 | $232.20 | |
HMSA
| Professional | $223.77 | $223.77 | $223.77 | |
United
| Professional | $193.35 | $248.63 | $310.98 | |
University Health Alliance
| Professional | $150.08 | $176.56 | $217.69 |