| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.20 | $18.51 | $38.52 | |
Cigna
| Professional | $30.86 | $30.86 | $30.86 | |
HMSA
| Professional | $60.45 | $63.30 | $63.30 | |
United
| Professional | $28.23 | $30.16 | $75.39 | |
University Health Alliance
| Professional | $43.27 | $43.27 | $43.27 |