| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $309.03 | $436.52 | |
Aetna
| Professional | $8.91 | $12.88 | $14.13 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
HMSA
| Professional | $30.20 | $37.15 | $41.69 | |
United
| Professional | $16.22 | $16.22 | $18.20 | |
University Health Alliance
| Professional | $117.49 | $117.49 | $128.82 |