| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $66.07 | $100.00 | |
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
HMSA
| Professional | $69.18 | $69.18 | $69.18 | |
United
| Professional | $60.26 | $79.43 | $97.72 | |
University Health Alliance
| Professional | $52.48 | $61.66 | $64.57 |