| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.03 | $263.03 | $263.03 | |
Cigna
| Professional | $288.40 | $288.40 | $288.40 | |
HMSA
| Professional | $275.42 | $275.42 | $275.42 | |
United
| Professional | $208.93 | $309.03 | $380.19 | |
University Health Alliance
| Professional | $120.23 | $120.23 | $141.25 |