| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.50 | $125.50 | $130.57 | |
Cigna
| Professional | $137.94 | $137.94 | $137.94 | |
HMSA
| Professional | $132.88 | $132.88 | $132.88 | |
United
| Professional | $138.19 | $147.65 | $221.48 | |
University Health Alliance
| Professional | $74.65 | $74.65 | $87.82 |