| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $47.11 | $47.11 | $47.11 | |
HMSA
| Professional | $45.42 | $45.42 | $45.42 | |
United
| Professional | $47.24 | $50.47 | $75.70 | |
University Health Alliance
| Professional | $23.18 | $46.27 | $54.43 |