| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.97 | $295.12 | $389.05 | |
Cigna
| Professional | $323.59 | $323.59 | $323.59 | |
HMSA
| Professional | $309.03 | $309.03 | $309.03 | |
United
| Professional | $263.03 | $346.74 | $436.52 | |
University Health Alliance
| Professional | $234.42 | $275.42 | $295.12 |