| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.39 | $24.39 | $24.39 | |
Cigna
| Professional | $24.50 | $24.50 | $24.50 | |
HMSA
| Professional | $28.86 | $28.86 | $28.86 | |
United
| Professional | $27.52 | $29.40 | $44.10 | |
University Health Alliance
| Professional | $10.84 | $13.17 | $16.28 |