| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.05 | $21.05 | $21.05 | |
HMSA
| Professional | $24.10 | $24.10 | $24.10 | |
United
| Professional | $19.70 | $21.05 | $31.58 | |
University Health Alliance
| Professional | $15.66 | $19.01 | $22.37 |