| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.31 | $168.54 | $578.00 | |
Cigna
| Professional | $130.46 | $188.99 | $356.72 | |
HMSA
| Professional | $177.40 | $197.11 | $236.16 | |
United
| Professional | $169.65 | $202.50 | $288.69 | |
University Health Alliance
| Professional | $146.96 | $235.14 | $309.83 |