| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.80 | $91.50 | $215.57 | |
Cigna
| Professional | $70.36 | $70.36 | $70.36 | |
HMSA
| Professional | $69.20 | $69.20 | $69.20 | |
United
| Professional | $59.89 | $76.58 | $95.55 | |
University Health Alliance
| Professional | $52.09 | $61.28 | $65.31 |