| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $216.91 | $216.91 | $216.91 | |
Cigna
| Professional | $238.19 | $238.19 | $238.19 | |
HMSA
| Professional | $240.97 | $240.97 | $240.97 | |
United
| Professional | $205.03 | $255.20 | $328.58 | |
University Health Alliance
| Professional | $170.44 | $175.95 | $200.52 |