| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.43 | $69.20 | $90.00 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
HMSA
| Professional | $73.29 | $73.29 | $73.29 | |
United
| Professional | $76.22 | $81.43 | $116.04 | |
University Health Alliance
| Professional | $60.93 | $71.68 | $77.36 |