| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $42.40 | $42.40 | $42.40 | |
HMSA
| Professional | $43.78 | $43.78 | $43.78 | |
United
| Professional | $46.80 | $50.00 | $75.00 | |
University Health Alliance
| Professional | $0.26 | $36.04 | $50.88 |