| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
HMSA
| Professional | $35.44 | $35.44 | $35.44 | |
United
| Professional | $28.15 | $30.08 | $45.12 | |
University Health Alliance
| Professional | $17.71 | $21.51 | $28.21 |