| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.79 | $144.00 | $445.97 | |
Cigna
| Professional | $134.47 | $134.47 | $134.47 | |
HMSA
| Professional | $113.99 | $113.99 | $113.99 | |
United
| Professional | $112.38 | $134.99 | $180.09 | |
University Health Alliance
| Professional | $94.76 | $111.48 | $126.07 |