| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.60 | $326.60 | $326.60 | |
Aetna
| Professional | $0.54 | $94.50 | $296.94 | |
Cigna
| Professional | $0.56 | $0.56 | $0.56 | |
HMSA
| Professional | $0.72 | $0.72 | $0.81 | |
United
| Professional | $0.47 | $0.48 | $0.72 | |
University Health Alliance
| Professional | $0.40 | $0.56 | $11.04 |