| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $607.92 | $636.58 | $668.41 | |
University Health Alliance
| Professional | $375.00 | $375.00 | $518.00 |
Bls
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $607.92 | $636.58 | $668.41 | |
University Health Alliance
| Professional | $375.00 | $375.00 | $518.00 |