| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
HMSA
| Professional | $1.37 | $1.37 | $1.37 | |
United
| Professional | $35.10 | $37.50 | $56.25 | |
University Health Alliance
| Professional | $1.85 | $2.52 | $3.50 |