| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.26 | $149.83 | $160.77 | |
Cigna
| Professional | $164.66 | $164.66 | $164.66 | |
HMSA
| Professional | $158.63 | $158.63 | $158.63 | |
United
| Professional | $137.61 | $176.27 | $220.53 | |
University Health Alliance
| Professional | $137.36 | $145.68 | $154.37 |