| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.72 | $25.72 | $25.72 | |
HMSA
| Professional | $27.91 | $27.91 | $27.91 | |
United
| Professional | $66.87 | $71.44 | $107.16 | |
University Health Alliance
| Professional | $12.72 | $15.44 | $18.17 |