| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $20.00 | $29.70 | |
Cigna
| Professional | $20.65 | $20.65 | $20.65 | |
HMSA
| Professional | $19.78 | $19.78 | $22.35 | |
United
| Professional | $20.57 | $21.98 | $31.32 | |
University Health Alliance
| Professional | $18.35 | $18.35 | $21.59 |