| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $367.96 | $367.96 | $367.96 | |
HMSA
| Professional | $409.17 | $409.17 | $409.17 | |
United
| Professional | $334.66 | $357.54 | $536.30 | |
University Health Alliance
| Professional | $311.64 | $441.55 | $506.52 |