| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.15 | $67.15 | $74.64 | |
Cigna
| Professional | $74.02 | $74.02 | $74.02 | |
HMSA
| Professional | $17.78 | $17.78 | $17.78 | |
United
| Professional | $61.86 | $79.01 | $99.14 | |
University Health Alliance
| Professional | $10.74 | $10.74 | $12.64 |