| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $60.25 | $60.25 | $60.25 | |
HMSA
| Professional | $62.43 | $62.43 | $62.43 | |
United
| Professional | $66.05 | $70.56 | $105.86 | |
University Health Alliance
| Professional | $59.57 | $59.57 | $59.57 |