| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.00 | $127.08 | $358.35 | |
Cigna
| Professional | $115.07 | $115.07 | $115.07 | |
HMSA
| Professional | $110.83 | $110.83 | $110.83 | |
United
| Professional | $92.50 | $123.14 | $154.11 | |
University Health Alliance
| Professional | $43.55 | $97.85 | $103.76 |