| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.35 | $19.35 | $23.14 | |
Cigna
| Professional | $21.40 | $21.40 | $21.40 | |
HMSA
| Professional | $20.50 | $20.50 | $23.17 | |
United
| Professional | $21.32 | $22.78 | $34.17 | |
University Health Alliance
| Professional | $23.35 | $23.35 | $23.35 |