| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $91.20 | $100.00 | |
Cigna
| Professional | $107.15 | $107.15 | $107.15 | |
HMSA
| Professional | $104.71 | $104.71 | $104.71 | |
United
| Professional | $89.13 | $117.49 | $144.54 | |
University Health Alliance
| Professional | $40.74 | $79.43 | $100.00 |