| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.30 | $16.95 | $59.76 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
HMSA
| Professional | $16.34 | $16.34 | $16.34 | |
United
| Professional | $12.06 | $13.38 | $20.07 | |
University Health Alliance
| Professional | $9.57 | $9.57 | $11.26 |