| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.67 | $69.94 | $159.19 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
HMSA
| Professional | $69.54 | $69.54 | $69.54 | |
United
| Professional | $72.31 | $77.26 | $110.10 | |
University Health Alliance
| Professional | $69.94 | $69.94 | $73.40 |