| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.75 | $112.50 | $134.83 | |
Cigna
| Professional | $148.32 | $148.32 | $148.32 | |
HMSA
| Professional | $142.76 | $142.76 | $142.76 | |
United
| Professional | $123.95 | $158.62 | $198.65 | |
University Health Alliance
| Professional | $62.91 | $122.63 | $139.05 |