| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $15.85 | $15.85 | |
HMSA
| Professional | $16.22 | $16.22 | $16.22 | |
United
| Professional | $12.02 | $13.49 | $19.95 | |
University Health Alliance
| Professional | $9.55 | $9.55 | $11.22 |