| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $310.61 | $310.61 | $310.61 | |
HMSA
| Professional | $214.95 | $214.95 | $253.64 | |
United
| Professional | $279.20 | $298.30 | $447.45 | |
University Health Alliance
| Professional | $97.47 | $219.32 | $309.86 |