| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $108.39 | $108.39 | $108.39 | |
HMSA
| Professional | $120.53 | $120.53 | $120.53 | |
United
| Professional | $114.85 | $122.70 | $184.05 | |
University Health Alliance
| Professional | $2.50 | $82.96 | $140.12 |