| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.56 | $158.56 | $158.56 | |
HMSA
| Professional | $59.49 | $59.49 | $59.49 | |
United
| Professional | $145.50 | $155.44 | $233.18 | |
University Health Alliance
| Professional | $41.09 | $41.09 | $41.09 |