| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
HMSA
| Professional | $93.65 | $93.65 | $93.65 | |
United
| Professional | $84.89 | $90.69 | $136.04 | |
University Health Alliance
| Professional | $55.78 | $67.73 | $138.90 |