| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $426.92 | $426.92 | $426.92 | |
HMSA
| Professional | $502.03 | $502.03 | $502.03 | |
United
| Professional | $524.58 | $588.79 | $793.38 | |
University Health Alliance
| Professional | $225.32 | $293.18 | $790.31 |