| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $14.00 | $14.00 | $14.00 | |
HMSA
| Professional | $14.98 | $14.98 | $14.98 | |
United
| Professional | $14.98 | $16.00 | $24.00 | |
University Health Alliance
| Professional | $14.40 | $14.40 | $14.40 |