| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $63.10 | $380.19 | |
Aetna
| Professional | $15.85 | $19.95 | $39.81 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
HMSA
| Professional | $21.38 | $21.38 | $23.99 | |
United
| Professional | $21.88 | $23.44 | $33.88 | |
University Health Alliance
| Professional | $19.95 | $23.44 | $70.79 |