| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.50 | $56.80 | $143.93 | |
Cigna
| Professional | $43.83 | $43.83 | $43.83 | |
HMSA
| Professional | $43.06 | $43.06 | $43.06 | |
United
| Professional | $36.49 | $42.66 | $59.34 | |
University Health Alliance
| Professional | $32.72 | $38.49 | $41.08 |