| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.00 | $168.75 | $352.67 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
HMSA
| Professional | $168.44 | $168.44 | $168.44 | |
United
| Professional | $146.66 | $187.09 | $235.05 | |
University Health Alliance
| Professional | $125.01 | $147.07 | $164.54 |