| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.95 | $102.33 | $154.88 | |
Cigna
| Professional | $58.88 | $97.72 | $151.36 | |
HMSA
| Professional | $79.43 | $89.13 | $109.65 | |
United
| Professional | $77.62 | $95.50 | $128.82 | |
University Health Alliance
| Professional | $74.13 | $154.88 | $204.17 |