| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $148.50 | $148.50 | $148.50 | |
HMSA
| Professional | $138.91 | $138.91 | $138.91 | |
United
| Professional | $148.79 | $158.96 | $238.44 | |
University Health Alliance
| Professional | $119.53 | $119.53 | $140.62 |