| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.99 | $31.99 | $31.99 | |
HMSA
| Professional | $31.49 | $31.49 | $31.49 | |
United
| Professional | $22.73 | $24.28 | $36.42 | |
University Health Alliance
| Professional | $29.50 | $34.54 | $34.71 |