| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.51 | $121.51 | $151.02 | |
Aetna
| Professional | $25.66 | $52.80 | $171.47 | |
Cigna
| Professional | $50.10 | $50.10 | $50.10 | |
HMSA
| Professional | $48.18 | $48.18 | $48.18 | |
United
| Professional | $41.87 | $53.53 | $67.09 | |
University Health Alliance
| Professional | $25.50 | $40.68 | $46.97 |