| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $88.43 | $88.43 | $88.43 | |
HMSA
| Professional | $94.89 | $94.89 | $94.89 | |
United
| Professional | $81.15 | $86.70 | $130.05 | |
University Health Alliance
| Professional | $62.41 | $89.16 | $108.38 |