| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.50 | $48.75 | $122.46 | |
HMSA
| Professional | $83.93 | $94.30 | $102.20 | |
United
| Professional | $69.69 | $92.92 | $92.92 | |
University Health Alliance
| Professional | $129.38 | $173.52 | $176.56 |