| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.65 | $23.65 | $24.22 | |
Cigna
| Professional | $4.04 | $4.04 | $4.04 | |
HMSA
| Professional | $3.88 | $4.05 | $4.05 | |
University Health Alliance
| Professional | $12.31 | $12.31 | $12.31 |