| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,081.45 | $3,081.45 | $3,081.45 | |
HMSA
| Professional | $2,376.71 | $2,376.71 | $2,376.71 | |
United
| Professional | $2,827.69 | $3,021.04 | $4,531.56 | |
University Health Alliance
| Professional | $2,762.29 | $2,762.29 | $2,762.29 |