| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $30.20 | $56.23 | |
Cigna
| Professional | $25.12 | $32.36 | $39.81 | |
HMSA
| Professional | $23.99 | $26.30 | $30.20 | |
United
| Professional | $23.99 | $26.92 | $46.77 | |
University Health Alliance
| Professional | $44.67 | $44.67 | $44.67 |