| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $724.77 | $724.77 | $724.77 | |
HMSA
| Professional | $136.60 | $136.60 | $136.60 | |
United
| Professional | $665.08 | $710.56 | $1,065.83 | |
University Health Alliance
| Professional | $42.10 | $51.12 | $60.14 |