| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $75.55 | $75.55 | $75.55 | |
HMSA
| Professional | $84.44 | $84.44 | $84.44 | |
United
| Professional | $83.19 | $88.88 | $133.32 | |
University Health Alliance
| Professional | $58.96 | $71.59 | $88.88 |